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Individual

ANDREW CANONICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4750
(202) 715-4759

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD049277
DC

Other

Enumeration date
04/28/2017
Last updated
06/15/2021
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