Healthcare Provider Details

I. General information

NPI: 1972861359
Provider Name (Legal Business Name): TERESA DOERRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2012
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW FL 5
WASHINGTON DC
20037
US

IV. Provider business mailing address

2300 M ST NW FL 5
WASHINGTON DC
20037-1434
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3300
  • Fax:
Mailing address:
  • Phone: 202-741-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD046304
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD046304
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: