Organization
316TH MEDGRP-MALCOLM GROW
Active
Parent organization
316TH MEDGRP-MALCOLM GROW
Organization subpart
Yes
Provider details
NPI number
Legal business name
316TH MEDGRP-MALCOLM GROW
Authorized official
JEN LEWANDOWSKI (DHA FINANCIAL MANAGER)
(703) 817-4030
Entity
Organization
Contact information
Practice address
238 BROOKLEY AVE, WASHINGTON, DC 20032
(202) 404-3602
(202) 404-8233
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(202) 404-3602
(202) 404-8233
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2006
Last updated
06/17/2025
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