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Organization
BREAST CARE FOR WASHINGTON
Active
Organization
BREAST CARE FOR WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WINIFRED WETHERALL (CEO)
(202) 465-7164
Entity
Organization
Contact information
Practice address
1201 SYCAMORE DR SE STE 400, WASHINGTON, DC 20032-5956
(202) 465-7164
(202) 905-0159
Mailing address
1201 SYCAMORE DR SE STE 400, WASHINGTON, DC 20032-5956
(202) 465-7164
(202) 905-0159
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
261QR0207X
Mobile Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024000684
—
DC
05
—
424045600
—
MD
Enumeration date
11/05/2012
Last updated
07/01/2026
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