Healthcare Provider Details

I. General information

NPI: 1558534925
Provider Name (Legal Business Name): ANGUS BRENNAN WORTHING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW SUITE 300
WASHINGTON DC
20006-1003
US

IV. Provider business mailing address

2730 UNIVERSITY BLVD WEST SUITE 310
WHEATON MD
20902
US

V. Phone/Fax

Practice location:
  • Phone: 202-293-9415
  • Fax: 202-293-9416
Mailing address:
  • Phone: 202-293-9415
  • Fax: 202-293-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD035407
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: