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Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 11/25/2020
1330 New Hampshire Ave., NW
SUITE 113 WASHINGTON, DC 20036
Phone: 202-463-6634
Fax: 202-463-6638
Location Details
- Practitioner spends 100% of time at this location.
- Days that practitioner sees patients at this location:
Mon,Tue,Wed,Thur,Fri
Years in Active Clinical Practice
Last Updated 11/25/2020
Years in Active Clinical Practice Inside US/Canada: 31
Medicaid
Last Updated 11/25/2020
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 11/25/2020
Is a Medicare participating provider
Virginia
Hospital Affiliations
Last Updated 11/25/2020
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 11/25/2020
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