Healthcare Provider Details

I. General information

NPI: 1629242565
Provider Name (Legal Business Name): DRS FRIEDMAN AND PLOTSKY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 PENN AVE SE STE 270
WASHINGTON DC
20003-4347
US

IV. Provider business mailing address

650 PENN AVE SE STE 270
WASHINGTON DC
20003-4347
US

V. Phone/Fax

Practice location:
  • Phone: 202-544-1980
  • Fax: 202-244-8028
Mailing address:
  • Phone: 202-544-1980
  • Fax: 202-244-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD4794
License Number StateDC

VIII. Authorized Official

Name: MS. DEIDRA CASSANDRA CARTER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 202-362-4545