Individual
DR. JACQUELINE MITSOUKO SAITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4087
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD500002830
DC
2086S0120X
Pediatric Surgery Physician
Primary
MD500002830
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200969913
—
MO
Enumeration date
07/13/2006
Last updated
06/14/2024
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