NPI 1184932014

Not-For-Profit Hospital Corporation

Organisation General Practice Physician Washington, DC

Practice location

Address: 1310 Southern Ave SE, Washington, DC 20032
Phone: (202) 688-4677
Fax: (202) 574-7188
Mailing address: 1310 Southern Ave SE, Washington, DC 20032-4623

Authorised official

Name: Chinor L Collick
Title: Medical Practice Administrator
Phone: (202) 574-6933

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in District of Columbia →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in District of Columbia →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in District of Columbia →

Registry record

NPI: 1184932014
Entity type: Organization
NPI issued: 14 Sep 2010
Record last updated: 29 Aug 2018

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.