Organization · Type 2 NPI

Providence Health Services, Inc

Otolaryngology Physician · Washington, DC

NPI number 1366710766 Active

Practice location

1140 Varnum St NE, Pmb 200
Washington, DC 20017-2151

Call (202) 854-4355 Map

Fax (202) 854-4398

Mailing address

1160 Varnum St NE, St Catherine's Hall, Room 102
Washington, DC 20017-2107

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XHFD01-0212 (DC)
General Acute Care Hospital 282N00000XHFD01-0212 (DC)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1366710766

Providence Health Services, Inc's National Provider Identifier is 1366710766, issued on Dec 13, 2011. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Washington, DC. The record was last updated on Feb 1, 2018.