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Specialty details in registry · Washington, DC

Call (251) 441-6404 Directions

At a glance

2100 2Nd St Sw, Washington, DC 20593-0002

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

2100 2Nd St Sw Suite 5314
Washington, DC 20593-0002

Professional details: NPI, taxonomy & registry record

NPI1275503385

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 247200000X
Enumeration date: Jan 23, 2006
Record updated: Aug 22, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

247200000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2100 2Nd St Sw
Suite 5314
Washington, DC 20593-0002

Phone: (251) 441-6404

Mailing address

2100 2ND ST SW
SUITE 5314
WASHINGTON, DC 205930002

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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