Healthcare Provider Details
I. General information
NPI: 1285663427
Provider Name (Legal Business Name): WASHINGTON ELECTROPHYSIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 IRVING ST NW SUITE 420
WASHINGTON DC
20010-2927
US
IV. Provider business mailing address
106 IRVING ST NW SUITE 420
WASHINGTON DC
20010-2927
US
V. Phone/Fax
- Phone: 202-722-6363
- Fax: 202-722-6364
- Phone: 202-722-6363
- Fax: 202-722-6364
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STANLEY
ADAM
STRICKBERGER
Title or Position: PRESIDENT
Credential: MD
Phone: 202-722-6363