Provider First Line Business Practice Location Address:
110 IRVING ST. NW
Provider Second Line Business Practice Location Address:
DEPT OF OBSTETRICS AND GYNECOLOGY
Provider Business Practice Location Address City Name:
WASHINGTON
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:
202-877-8035
Provider Business Practice Location Address Fax Number:
202-877-5435
Provider Enumeration Date:
04/01/2020