Healthcare Provider Details

I. General information

NPI: 1285817452
Provider Name (Legal Business Name): WASHINGTON CIRCLE ORTHOPAEDIC ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WASHINGTON CIR NW SUITE 404
WASHINGTON DC
20037-2356
US

IV. Provider business mailing address

3 WASHINGTON CIR NW SUITE 404
WASHINGTON DC
20037-2356
US

V. Phone/Fax

Practice location:
  • Phone: 202-333-2820
  • Fax: 202-833-1410
Mailing address:
  • Phone: 202-333-2820
  • Fax: 202-833-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD4949
License Number StateDC

VIII. Authorized Official

Name: DR. PETER ALAN MOSKOVITZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 202-333-2820