Provider First Line Business Practice Location Address:
50 IRVING STREET, N.W.
Provider Second Line Business Practice Location Address:
PULMONARY SECTION, ROOM 4A-165, VETERANS AFFAIRS MEDICA
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-745-8118
Provider Business Practice Location Address Fax Number:
202-548-4658
Provider Enumeration Date:
10/03/2006