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Organization

MEDICAL FACULTY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MARK TATELBAUM (PROGRAM DIRECTOR)
(202) 741-3375
Entity
Organization

Contact information

Practice address
2150 PENNSYLVANIA AVE NW, SUITE 10-407, WASHINGTON, DC 20037-3201
(202) 741-3375
(202) 741-3396
Mailing address
2150 PENNSYLVANIA AVE NW, SUITE 10-407, WASHINGTON, DC 20037-3201
(202) 741-3375
(202) 741-3396

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1672
DC

Other

Enumeration date
03/18/2009
Last updated
03/18/2009
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