Provider First Line Business Practice Location Address:
110 IRVING ST. NW, DEPT OF INTERNAL MEDICINE, MEDSTAR W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON D.C.
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-877-2835
Provider Business Practice Location Address Fax Number:
202-877-8288
Provider Enumeration Date:
05/01/2026