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Organization

WASHINGTON HOSPITAL CENTER CORP

Active
Parent organization
MEDSTAR HEALTH INC
Other names
Center Anesthesiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDSTAR HEALTH INC
Authorized official
ROBBERT PORCO (ADMINISTRATIVE DIRECTOR/ANESTHESIOL)
(202) 877-7575
Entity
Organization

Contact information

Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(202) 877-7575
(202) 877-3081
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027447100
DC
05
061801200
MD
01
2037700
UNITED HEALTHCARE
DC
01
2200
CAREFIRST BCBS
DC
01
284421
MAMSI
DC
Enumeration date
07/20/2006
Last updated
11/14/2012
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