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Individual

DANIEL DESTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-6711
(202) 865-6713
Mailing address
2024 GEORGIA AVE NW, WASHINGTON, DC 20001-3027
(202) 595-3223
(202) 332-3985

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD30939
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010011248
VA
05
034597900
DC
05
402491500
MD
Enumeration date
11/15/2006
Last updated
08/03/2007
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