Individual
BRYAN R FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-4177
Mailing address
2300 18TH ST NW APT 304, WASHINGTON, DC 20009-1898
(202) 368-6336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD33171
DC
2080P0206X
Pediatric Gastroenterology Physician
MD33171
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034078600
—
DC
05
—
434050700
—
MD
05
—
5875196
—
VA
Enumeration date
10/19/2006
Last updated
10/29/2008
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