NPI 1063780674

Phs Multispecialty Services

Organisation Surgery Physician Washington, DC

Practice location

Address: 1160 Varnum St NE Depaul 300, Washington, DC 20017-2107
Phone: (202) 854-4014
Fax: (202) 854-0029
Mailing address: 1160 Varnum St NE St Catherine's Hall, Room 102, Washington, DC 20017-2107

Authorised official

Name: Charles F Haberkern
Title: Vp
Phone: (202) 854-4255

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence HFD01-0212 (DC)

Other Surgery providers in District of Columbia →

General Acute Care Hospital

Hospitals Taxonomy 282N00000X Licence HFD01-0212 (DC)

Other General Acute Care Hospital providers in District of Columbia →

Registry record

NPI: 1063780674
Entity type: Organization
NPI issued: 9 Dec 2011
Record last updated: 6 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.