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Individual

MARK W. ZAWADSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-8766
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
D0067051
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD037152
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A908880
CA
01
P00868991
RAILROAD MEDICARE
DC
Enumeration date
10/25/2006
Last updated
03/15/2012
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