Organization
CAPITOL HILL MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON ANNIBELLE VAN-COOTEN (OFFICE ADMINISTRATOR)
(202) 546-2219
Entity
Organization
Contact information
Practice address
201 8TH ST NE, WASHINGTON, DC 20002-6153
(202) 546-7696
(202) 546-8061
Mailing address
201 8TH ST NE, WASHINGTON, DC 20002-6153
(202) 546-7696
(202) 546-8061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DII00000314
DC
207R00000X
Internal Medicine Physician
MD31662
DC
208000000X
Pediatrics Physician
Primary
MD11388
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024540800
—
DC
Enumeration date
08/12/2008
Last updated
08/12/2008
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