Organization
NANAKO BROUGHTON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANAKO BROUGHTON M.D. (OWNER)
(202) 296-7722
Entity
Organization
Contact information
Practice address
1145 19TH ST NW, 510, WASHINGTON, DC 20036-3701
(202) 296-7722
(202) 429-0967
Mailing address
1145 19TH ST NW, 510, WASHINGTON, DC 20036-3701
(202) 296-7722
(202) 429-0967
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD33594
DC
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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