PHS OB GYN DP216 NPI 1518235126

NPI Information

PHS OB GYN DP216 is an obstetrics gynecology in Washington, DC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PHS OB GYN DP216 NPI is 1518235126. The provider is registered as an organization entity type.
The provider Other Name Is Providence Health Services.

The provider's business location address is:

1160 VARNUM ST NE
DEPAUL 216
WASHINGTON, DC
ZIP 20017-107
Phone: (202) 854-7374
Fax: (202) 854-7470

The provider's authorized official is Charles F Haberkern .
The authorized official title is Vp and has the following contact phone number (202) 854-4255.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 9/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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