Healthcare Provider Details

I. General information

NPI: 1346356664
Provider Name (Legal Business Name): SAMUEL P HARRINGTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW STE 232
WASHINGTON DC
20016
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW STE 232
WASHINGTON DC
20016
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-3376
  • Fax: 202-966-5375
Mailing address:
  • Phone: 202-966-3376
  • Fax: 202-966-5375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD13233
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: