Individual
BOLIVAR CONTRERAS MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 269-7747
Mailing address
808 W BROAD ST, FALLS CHURCH, VA 22046-3106
(703) 945-7941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.133046
OH
Other
Enumeration date
06/10/2015
Last updated
11/17/2025
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