Healthcare Provider Details

I. General information

NPI: 1376593756
Provider Name (Legal Business Name): WASHINGTON CARDIOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW ROOM # 4B-1
WASHINGTON DC
20010-2976
US

IV. Provider business mailing address

110 IRVING ST NW ROOM # 4B-1
WASHINGTON DC
20010-2976
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-2700
  • Fax: 202-877-2718
Mailing address:
  • Phone: 202-877-2700
  • Fax: 202-877-2718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LOWELL F SATLER
Title or Position: DIRECTOR, INTERVENTIONAL CARDIOLOGY
Credential: M.D.
Phone: 202-877-2700