Provider First Line Business Practice Location Address:
2150 PENNSYLVANIA AVENUE, SUITE 1-200
Provider Second Line Business Practice Location Address:
GEORGE WASHINGTON UNIVERSITY CANCER CENTER
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-741-2487
Provider Business Practice Location Address Fax Number:
215-728-3639
Provider Enumeration Date:
07/24/2006