Organization
EAR,NOSE & THROAT MEDICAL GROUP OF WASHINGTON P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GORDON VAP M.D. (PRESIDENT)
(202) 223-3560
Entity
Organization
Contact information
Practice address
2021 K ST NW, SUITE 210, WASHINGTON, DC 20006-1003
(202) 223-3560
(202) 223-3339
Mailing address
2021 K ST NW, SUITE 210, WASHINGTON, DC 20006-1003
(202) 223-3560
(202) 223-3339
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD3439
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001037
ANTHEM BLUECROSS BLUESHIELD
DC
01
—
3700
CAREFIRST BLUECROSS BLUE SHIELD
DC
Enumeration date
02/28/2008
Last updated
06/12/2008
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