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Individual

DR. JOSEPH KELAGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 R ST NW APT 601, WASHINGTON, DC 20009-1615
(202) 709-7658
Mailing address
1800 R ST NW APT 601, WASHINGTON, DC 20009-1615
(202) 709-7658

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD14881
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14881
MEDICAL LICENSE
DC
01
CS-88-01352
DC CONTROLLED SUBSTANCES LICENSE
DC
Enumeration date
10/11/2016
Last updated
10/11/2016
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