Healthcare Provider Details

I. General information

NPI: 1205156700
Provider Name (Legal Business Name): FRANCIS CHUCKER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 06/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 CALVERT ST NW
WASHINGTON DC
20008-2663
US

IV. Provider business mailing address

2700 CALVERT ST NW
WASHINGTON DC
20008-2663
US

V. Phone/Fax

Practice location:
  • Phone: 202-332-1188
  • Fax: 202-328-6192
Mailing address:
  • Phone: 202-332-1188
  • Fax: 202-328-6192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD25181
License Number StateDC

VIII. Authorized Official

Name: FRANCIS CHUCKER
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 202-332-1188