Individual
CARL LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2180
(202) 269-7000
Mailing address
4700 BERWYN HOUSE RD, SUITE 208, COLLEGE PARK, MD 20740-2474
(301) 220-0150
(301) 220-1032
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101028941
VA
2085R0202X
Diagnostic Radiology Physician
D0021603
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD9179
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7219881-1600124
—
VA
Enumeration date
07/15/2005
Last updated
11/01/2007
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