Organization
RONALD L ANDERSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTEZ ANDERSON (OFFICE MANAGER)
(202) 889-5700
Entity
Organization
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE STE 102, WASHINGTON, DC 20020-7033
(202) 889-5700
Mailing address
2041 MARTIN LUTHER KING JR AVE SE STE 102, WASHINGTON, DC 20020-7033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021821600
—
DC
01
—
81590001
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/30/2009
Last updated
09/14/2022
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