Organization
PROVIDENCE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE TOLENTINO AA-C (ANESTHESIOLOGIST ASSISTAMT)
(678) 595-5626
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 423-8976
Mailing address
1600 S EADS ST, APT 731S, ARLINGTON, VA 22202-2926
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AA000012
DC
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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