Healthcare Provider Details

I. General information

NPI: 1992237986
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 04/12/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19650 CLUB HOUSE RD. #101
GAITHERSBURG MD
20886
US

IV. Provider business mailing address

1225 4TH ST. NE
WASHINGTON DC
20002
US

V. Phone/Fax

Practice location:
  • Phone: 301-208-1300
  • Fax: 301-208-8699
Mailing address:
  • Phone: 202-347-8512
  • Fax: 202-290-2744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAKINA WILSON
Title or Position: CHIEF OPERATION OFFICER
Credential:
Phone: 410-591-4273