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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 10/23/2007
110 Irving Street, NW
Washington, DC 20010
Phone: 202-877-6495
Fax: 202-877-8153
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 10/23/2007
Years in Active Clinical Practice Inside US/Canada: 18
Medicaid
Last Updated 10/23/2007
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 10/23/2007
Is a Medicare participating provider
Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 10/23/2007
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 10/23/2007
(Washington,DC) Washington Hospital Center
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