Healthcare Provider Details

I. General information

NPI: 1750519179
Provider Name (Legal Business Name): WASHINGTON HOSPITAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 06/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-5284
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberHFD01-0210
License Number StateDC

VIII. Authorized Official

Name: JANIS ORLOWSKI
Title or Position: SENIOR VICE PRESIDENT AND CHIEF MED
Credential: MD
Phone: 202-877-5284