Individual
JAY E SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(301) 424-1755
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(301) 424-1755
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
D0032607
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024228100
—
DC
05
—
429681800
—
MD
05
—
6724892
—
VA
Enumeration date
10/17/2006
Last updated
10/21/2021
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