Individual
ITSHAC ITSIK BEN-DOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(240) 997-3782
Mailing address
271 CONGRESSIONAL LN, ROCKVILLE, MD 20852-1563
(240) 997-3782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MID041572
DC
207RC0000X
Cardiovascular Disease Physician
MID041572
DC
207RI0011X
Interventional Cardiology Physician
Primary
MID041572
DC
Other
Enumeration date
08/21/2008
Last updated
08/21/2013
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