Individual
DR. RONALD DISTAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
110 IRVING ST NW, WASHINGTON HOSPITAL CENTER, ROOM 1A50A1-AB6, WASHINGTON, DC 20010-3017
(202) 877-8284
(202) 877-5262
Mailing address
110 IRVING STREET NW, WASHINGTON HOSPITAL CENTER, ROOM 1A50A1-AB6, WASHINGTON, DC 20010-3017
(202) 877-8284
(202) 877-5262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040506
DC
Other
Enumeration date
07/04/2006
Last updated
08/26/2016
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