Individual
JONATHAN LISCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
(202) 444-3320
(202) 444-3786
Mailing address
30 SHELBURNE RD, DEPARTMENT OF MEDICINE, STAMFORD, CT 06902-3628
(203) 276-7485
(203) 276-7368
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD044917
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2012
Last updated
08/29/2022
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