Individual provider · Type 1 NPI

Momodu A. Jack, MD

Gastroenterology Physician · Washington, DC

NPI number 1164521019 Active

Practice location

2139 Georgia Ave NW, Suite 3A
Washington, DC 20001-3035

Call (202) 865-7981 Map

Fax (301) 621-5313

Mailing address

PO Box 2325
Columbia, MD 21045-1325

Other practice locations

  • 541 Sunset Ln Ste 301, Culpeper, VA 22701-3979 · (540) 825-4557

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician 207RG0100XD0044035 (MD)
Gastroenterology Physician 207RG0100X0101270422 (VA)
Gastroenterology Physician Primary 207RG0100XMD20286 (DC)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1164521019

Momodu A. Jack, MD's National Provider Identifier is 1164521019, issued on Sep 21, 2006. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Washington, DC. The record was last updated on Nov 6, 2020.