Phs Gen Surg Dp307
Phs Gen Surg Dp307 is a Surgery Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2012.
- Licensed in
- DC
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1160 Varnum St NE Depaul 307Washington, DC 20017-2107
Phone: (202) 854-4014
Fax: (202) 854-4082
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence HFD01-0212 (DC) |
|---|---|
| General Acute Care Hospital | Taxonomy 282N00000X · Licence HFD01-0212 (DC) |
Record details
| NPI number | 1942546858 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Hospital |
| Authorized official | Beau Higginbotham — Cive President/Coo · (410) 368-3162 |
| Other names | Providence Health Services |
| NPI enumerated | December 20, 2012 |
| Last updated in NPPES | October 5, 2017 |
| Mailing address | 1160 Varnum St Ne, St Catherine'S Hall, Room 102, Washington, DC 20017-2107 |
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Dr. A. Mathew Philip, MD
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Phs Gen Surg Dp306
1160 Varnum St NE Depaul 306, Washington, DC 20017-2107 · (202) 854-4069
-
Phs General Surgry Dp318
1160 Varnum St NE Depaul 318, Washington, DC 20017-2107 · (202) 854-4014
-
Phs Multispecialty Services
1160 Varnum St NE Depaul 300, Washington, DC 20017-2107 · (202) 854-4014
-
Providence Health Services
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Vijay Putatunda, MD
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