Organization · Type 2 NPI
Dora Mamodesene,md,pc
Primary Care Clinic/Center · Washington, DC
NPI number
1144454141
Active
Practice location
7733 Alaska Ave NW, NW
Washington, DC 20012-1421
Fax (301) 989-2276
Mailing address
2057 Mayflower Dr
Silver Spring, MD 20905-5564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 14222MD (DC) |
| Primary Care Clinic/Center | 261QP2300X | D0029649MD (MD) |
| Primary Care Clinic/Center | 261QP2300X | 0101035678 (VA) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1144454141
Dora Mamodesene,md,pc's National Provider Identifier is 1144454141, issued on May 6, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Washington, DC. The record was last updated on May 6, 2009.