Organization
HOWARD UNIVERSITY
Active
Parent organization
HOWARD UNIVERSITY
Other names
Faculty Practice Plan
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOWARD UNIVERSITY
Authorized official
TERRANCE FULLUM MD (CHIEF MEDICAL OFFICER)
(202) 865-4132
Entity
Organization
Contact information
Practice address
4414 BENNING RD NE FL 2, WASHINGTON, DC 20019-4555
(202) 865-2120
Mailing address
2041 GEORGIA AVE NW STE 3400, WASHINGTON, DC 20060-0001
(202) 865-4132
(202) 865-5018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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