Organization
VASCULAR ACCESS CENTER OF WASHINGTON DC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMED F MCGUCKIN MD (CEO)
2152028240620
Entity
Organization
Contact information
Practice address
1010 VERMONT AVE NW, SUITE 300, WASHINGTON, DC 20005-4902
(202) 824-0620
Mailing address
1010 VERMONT AVE NW, SUITE 300, WASHINGTON, DC 20005-4902
(202) 824-0620
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301
CAREFIRST BLUE SHIELD
DC
05
—
038053200
—
DC
05
—
1902835028
—
VA
01
—
DF5789
RAILROAD MEDICARE
DC
Enumeration date
07/01/2006
Last updated
06/27/2013
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