Healthcare Provider Details

I. General information

NPI: 1760777072
Provider Name (Legal Business Name): CAITLIN SARAE ZARICK D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAITLIN SARAE GARWOOD DPM

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW DEPT OF SURGERY
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

3800 RESERVOIR RD NW DEPT OF PLASTIC SURGERY
WASHINGTON DC
20007-2113
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-9686
  • Fax:
Mailing address:
  • Phone: 202-444-9686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO1000116
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: