Individual
DR. MALCOLM MARK DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4910 MASSACHUSETTS AVE NW, SUITE 307, WASHINGTON, DC 20016-4300
(202) 237-8633
(202) 237-8632
Mailing address
4910 MASSACHUSETTS AVE NW, SUITE 307, WASHINGTON, DC 20016-4300
(202) 237-8633
(202) 237-8632
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD20701
DC
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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