Organization
EMERSON CLINIC
Active
Other names
Emerson Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIAN SANDOVAL MD (CEO)
(202) 239-0777
Entity
Organization
Contact information
Practice address
508 KENNEDY ST NW STE 207, WASHINGTON, DC 20011
(202) 239-0777
(202) 849-8814
Mailing address
508 KENNEDY ST NW STE 306, WASHINGTON, DC 20011-3010
(202) 239-0777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/02/2018
Last updated
07/30/2018
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