Individual
JENNA MAGGIN DICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 IRVING ST NW DEPT OF, WASHINGTON, DC 20422-2113
(202) 745-8000
Mailing address
3800 RESERVOIR RD NW, DEPARTMENT OF UROLOGY, WASHINGTON, DC 20007-2113
(202) 444-4922
(202) 444-6292
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0093859
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
11/07/2024
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