Organization
PULMONARY CRITICAL CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIUS DOUGLAS POLK JR. M.D. (TREASURER)
(202) 526-5491
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, SUITE 214, WASHINGTON, DC 20017-2107
(202) 526-5491
(202) 526-5434
Mailing address
1160 VARNUM ST NE, SUITE 214, WASHINGTON, DC 20017-2107
(202) 526-5491
(202) 526-5434
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
03/04/2008
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