Provider First Line Business Practice Location Address:
GW MEDICAL FACULTY ASSOCIATES, INC
Provider Second Line Business Practice Location Address:
900 23RD ST NW
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:
202-715-5189
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2006