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Organization
WASHINGTON HOSPITAL CENTER CORP
Active
Organization
WASHINGTON HOSPITAL CENTER CORP
Active
Parent organization
MEDSTAR HEALTH INC
Other names
Center Anesthesiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAR HEALTH INC
Authorized official
ROBBERT PORCO (ADMINISTRATIVE DIRECTOR/ANESTHESIOL)
(202) 877-7575
Entity
Organization
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(202) 877-7575
(202) 877-3081
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027447100
—
DC
05
—
061801200
—
MD
01
—
2037700
UNITED HEALTHCARE
DC
01
—
2200
CAREFIRST BCBS
DC
01
—
284421
MAMSI
DC
Enumeration date
07/20/2006
Last updated
11/14/2012
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