Individual
ELLEN MARIE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 4400 NORTH, WASHINGTON, DC 20010-2927
(202) 877-6935
(202) 829-3190
Mailing address
PO BOX 418498, BOSTON, MA 02241-8498
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD18049
DC
Other
Enumeration date
12/29/2005
Last updated
03/15/2012
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