Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 2/22/2023
FASMA
1145 19th St NW 605
Washington, DC 20036
Phone: 2028339109
Location Details
- Practitioner spends 30% of time at this location.
- Days that practitioner sees patients at this location:
Tue,Wed,Fri
Additional Practice Address
Last Updated 2/22/2023
63 Thomas Johnson Drive
Frederick, MD 21702
Phone: (301) 696-0818
Location Details
- Practitioner spends 0% of time at this location.
- Days that practitioner sees patients at this location:
Mon,Wed
Years in Active Clinical Practice
Last Updated 2/22/2023
Years in Active Clinical Practice Inside US/Canada: 10
Medicaid
Last Updated 2/22/2023
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 2/22/2023
Is a Medicare participating provider
Is a Medicare Non-participating provider Is accepting new Medicare patients
Virginia
Hospital Affiliations
Last Updated 2/22/2023
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 2/22/2023
(Washington, DC,DC) Georgetown University Hospital
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