Individual
JESSE M PINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 741-2911
Mailing address
2424 N POTOMAC ST, ARLINGTON, VA 22207-1026
(202) 577-5084
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
0101279488
VA
207P00000X
Emergency Medicine Physician
MD038463
DC
207P00000X
Emergency Medicine Physician
MD424508
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010951370001
—
PA
Enumeration date
05/27/2006
Last updated
02/16/2025
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