Individual
JONATHAN GLEN FLEURAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., RMDS
Contact information
Practice address
700 2ND ST NE, WASHINGTON, DC 20002-8100
(202) 853-1175
Mailing address
700 2ND ST NE, WASHINGTON, DC 20002-8100
(202) 853-1175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101256020
VA
207P00000X
Emergency Medicine Physician
D0077420
MD
207P00000X
Emergency Medicine Physician
Primary
MD042173
DC
Other
Enumeration date
03/25/2010
Last updated
05/27/2021
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