Provider First Line Business Practice Location Address:
110 IRVING ST. NW
Provider Second Line Business Practice Location Address:
MEDSTAR WASHINGTON HOSPITAL CENTER, DEPT OF INTERVENTIO
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:
202-877-2988
Provider Business Practice Location Address Fax Number:
202-877-2715
Provider Enumeration Date:
03/08/2023