Phs OB GYN Dp216
Phs OB GYN Dp216 is an Obstetrics & Gynecology Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2011.
- Licensed in
- DC
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1160 Varnum St NE Depaul 216Washington, DC 20017-2107
Phone: (202) 854-7374
Fax: (202) 854-7470
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Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence HFD01-0212 (DC) |
|---|---|
| General Acute Care Hospital | Taxonomy 282N00000X · Licence HFD01-0212 (DC) |
Record details
| NPI number | 1518235126 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Hospital |
| Authorized official | Charles Haberkern — Vp · (202) 854-4255 |
| Other names | Providence Health Services |
| NPI enumerated | December 9, 2011 |
| Last updated in NPPES | September 6, 2016 |
| Mailing address | 1160 Varnum St Ne, St Catherine'S Hall, Room 102, Washington, DC 20017-2107 |
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