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Individual

BARRY M WERTHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 854-4041
(202) 854-4034
Mailing address
1150 VARNUM ST NE FL HALL1, WASHINGTON, DC 20017-2104
(202) 854-4812
(202) 854-7825

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101046714
VA
207L00000X
Anesthesiology Physician
Primary
D41716
MD
207L00000X
Anesthesiology Physician
MD19158
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050044182
RAILROAD MEDICARE
MD
05
591901100
MD
Enumeration date
09/15/2005
Last updated
02/19/2020
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