Organization
WILTON O'R NEDD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILTON O'REILLY NEDD M.D (PRESIDENT)
(202) 529-1303
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, STE.217, WASHINGTON, DC 20017-2107
(202) 529-1303
(301) 390-5699
Mailing address
11514 CANTERBURY CT, MITCHELLVILLE, MD 20721-2281
(301) 390-7331
(301) 390-5699
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD14391
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026569100
—
DC
05
—
536910001
—
MD
Enumeration date
10/17/2008
Last updated
10/17/2008
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