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Organization

CHILDRENS MEDICAL CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DANA SADDLER (ADMIN)
(202) 829-7700
Entity
Organization

Contact information

Practice address
5425 14TH ST NW, WASHINGTON, DC 20011-3613
(202) 829-7700
Mailing address
5425 14TH ST NW, WASHINGTON, DC 20011-3613
(202) 829-7700

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD15318
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023389900
DC
Enumeration date
02/25/2011
Last updated
02/25/2011
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