Individual
DR. GLENN WORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW, SUITE 2A38B, WASHINGTON, DC 20010-3017
(202) 877-7164
Mailing address
110 IRVING ST NW, SUITE 2A38B, WASHINGTON, DC 20010-3017
(202) 877-7164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101044261
VA
207RI0200X
Infectious Disease Physician
Primary
0101044261
VA
Other
Enumeration date
10/05/2006
Last updated
06/18/2013
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