Individual
ILENE S BUARQUE DE MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1327 18TH STREET NW, WASHINGTON, DC 20036
(202) 785-2400
(202) 452-1853
Mailing address
6305 MOUNTAIN BRANCH COURT, BETHESDA, MD 20817
(301) 320-6919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0040982
MD
174400000X
Specialist
Primary
MD18813
DC
Other
Enumeration date
05/04/2006
Last updated
06/20/2008
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