Organization
POF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK O. FASUSI M.D. (MEDICAL DIRECTOR)
(202) 291-0126
Entity
Organization
Contact information
Practice address
6323 GEORGIA AVE NW, SUITE 200, WASHINGTON, DC 20011-1101
(202) 291-0126
(202) 291-0370
Mailing address
6323 GEORGIA AVE NW, SUITE 200, WASHINGTON, DC 20011-1101
(202) 291-0126
(202) 291-0370
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
HFD06-0113
DC
Other
Enumeration date
06/20/2006
Last updated
02/13/2013
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