Individual
BERTHA KOOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 MASSACHUSETTS AVE NW, #217, WASHINGTON, DC 20016-4300
(202) 244-1553
(202) 244-2192
Mailing address
4910 MASSACHUSETTS AVE NW, #217, WASHINGTON, DC 20016-4300
(202) 244-1553
(202) 244-2192
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D56918
MD
208000000X
Pediatrics Physician
Primary
CS9810758
DC
Other
Enumeration date
07/08/2006
Last updated
02/18/2010
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