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Organization
WASHINGTON MEDICAL LLC
Active
Organization
WASHINGTON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M BORDON MD (PRESIDENT)
(202) 854-4052
Entity
Organization
Contact information
Practice address
1140 VARNUM ST NE STE 203, WASHINGTON, DC 20017-2153
(202) 854-4052
(202) 854-4832
Mailing address
1140 VARNUM ST NE STE 203, WASHINGTON, DC 20017-2153
(202) 854-4052
(202) 854-4832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
07/06/2023
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