Healthcare Provider Details

I. General information

NPI: 1346308236
Provider Name (Legal Business Name): MARC BENJAMIN DANZIGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 18TH ST NW STE 300
WASHINGTON DC
20036-5217
US

IV. Provider business mailing address

1015 18TH ST NW STE 300
WASHINGTON DC
20036-5217
US

V. Phone/Fax

Practice location:
  • Phone: 202-835-2222
  • Fax: 202-969-1798
Mailing address:
  • Phone: 202-835-2222
  • Fax: 202-969-1798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD21234
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: