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Organization
PULMONARY CRITICAL CARE ASSOCIATES, PC
Active
Organization
PULMONARY CRITICAL CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIUS DOUGLAS POLK JR. M.D. (TREASURER)
(202) 526-5491
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, SUITE 214, WASHINGTON, DC 20017-2107
(202) 526-5491
(202) 526-5434
Mailing address
1160 VARNUM ST NE, SUITE 214, WASHINGTON, DC 20017-2107
(202) 526-5491
(202) 526-5434
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
03/04/2008
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