# PULMONARY CRITICAL CARE ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780695973
- **Authorized official:** DR. OCTAVIUS DOUGLAS POLK JR. M.D. (TREASURER)
- **Authorized official phone:** (202) 526-5491

## Contact information

- **Practice address:** 1160 VARNUM ST NE, SUITE 214, WASHINGTON, DC 20017-2107
- **Practice address phone:** (202) 526-5491
- **Practice address fax:** (202) 526-5434
- **Mailing address:** 1160 VARNUM ST NE, SUITE 214, WASHINGTON, DC 20017-2107
- **Mailing address phone:** (202) 526-5491
- **Mailing address fax:** (202) 526-5434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 03/04/2008