Healthcare Provider Details

I. General information

NPI: 1053653162
Provider Name (Legal Business Name): WHC ANESTHESIA CARE TEAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW ATTN: MEDICAL AFFAIRS
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

PO BOX 418498
BOSTON MA
02241-8498
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-5284
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE SCHNEIDER
Title or Position: VP
Credential:
Phone: 703-558-1403