Provider First Line Business Practice Location Address:
DEPARTMENT OF PEDIATRICS, 3800 RESERVOIR ROAD, NW
Provider Second Line Business Practice Location Address:
PASQUERILLA HEALTHCARE CENTER, SECOND FLOOR, RM F2003A
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20007-2113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-444-8518
Provider Business Practice Location Address Fax Number:
202-444-2467
Provider Enumeration Date:
08/24/2006