Organization
MEDICAL FACULTY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BADGER (CEO)
(202) 741-3000
Entity
Organization
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, SUITE 6-B, WASHINGTON, DC 20037-3201
(202) 741-3203
(202) 741-3219
Mailing address
2150 PENNSYLVANIA AVE NW, SUITE 6-B, WASHINGTON, DC 20037-3201
(202) 741-3203
(202) 741-3219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN965339
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033802300
—
DC
Enumeration date
06/12/2014
Last updated
06/12/2014
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