Healthcare Provider Details

I. General information

NPI: 1497954069
Provider Name (Legal Business Name): JOEL C. ANG, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1759 Q ST NW
WASHINGTON DC
20009-2407
US

IV. Provider business mailing address

1759 Q ST NW
WASHINGTON DC
20009-2407
US

V. Phone/Fax

Practice location:
  • Phone: 202-667-5041
  • Fax: 202-667-0532
Mailing address:
  • Phone: 202-667-5041
  • Fax: 202-667-0532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JACQUELINE W SCHICK
Title or Position: ADMINISTRATOR
Credential:
Phone: 202-667-5041