Organization
PROVIDENCE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIESAK ASFAW (NP)
(301) 256-7630
Entity
Organization
Contact information
Practice address
3413 OLIVE BRANCH DR, SILVER SPRING, MD 20904-4973
(301) 256-7630
Mailing address
1150 VARNUM ST NE, WAHINGTON DC, DC 20017
(202) 854-7000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN1014643
DC
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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