Healthcare Provider Details
I. General information
NPI: 1881637619
Provider Name (Legal Business Name): WASHINGTON HOSPITAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2006
Last Update Date: 05/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 IRVING ST NW 2A38
WASHINGTON DC
20010-2976
US
IV. Provider business mailing address
110 IRVING ST NW 2A38
WASHINGTON DC
20010-2976
US
V. Phone/Fax
- Phone: 202-877-2848
- Fax: 202-877-6292
- Phone: 202-877-2848
- Fax: 202-877-6292
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANIS
M.
ORLOWSKI
Title or Position: SR. VP & CHIEF MEDICAL OFFICER
Credential: MD
Phone: 202-877-5284