Individual
TED SAN LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 WISCONSIN AVE NW, STE 200, WASHINGTON, DC 20007-2265
(202) 944-5356
Mailing address
2115 WISCONSIN AVE NW, STE 200, WASHINGTON, DC 20007-2265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD042472
DC
Other
Enumeration date
03/31/2009
Last updated
07/22/2015
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