Organization
BREAST CARE FOR WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA HAMPTON (MEDICAL OFFICER)
(301) 552-7805
Entity
Organization
Contact information
Practice address
4 ATLANTIC ST SW, WASHINGTON, DC 20032-2350
(202) 465-7164
(202) 465-9050
Mailing address
4 ATLANTIC ST SW, WASHINGTON, DC 20032-2350
(202) 465-7164
(202) 465-9050
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
—
—
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424045600
—
MD
Enumeration date
04/27/2015
Last updated
09/21/2023
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