Organization
WASHINGTON PEDIATRIC ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE V LANG (CEO PRESIDENT)
(202) 955-5625
Entity
Organization
Contact information
Practice address
1145 19TH ST NW, #708, WASHINGTON, DC 20036
(202) 955-5625
(202) 955-5626
Mailing address
PO BOX 33879, WASHINGTON, DC 20033
(202) 955-5625
(202) 955-5626
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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