Individual
DR. VIRGINIA JACKSON MALATACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3976
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD042825
DC
208M00000X
Hospitalist Physician
Primary
MD042825
DC
Other
Enumeration date
06/17/2010
Last updated
04/10/2019
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