Healthcare Provider Details
I. General information
NPI: 1497917892
Provider Name (Legal Business Name): CHILDREN'S NATIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8484 16TH ST APARTMENT 500
SILVER SPRING MD
20910-2963
US
IV. Provider business mailing address
8484 16TH ST APARTMENT 500
SILVER SPRING MD
20910-2963
US
V. Phone/Fax
- Phone: 240-383-9598
- Fax:
- Phone: 240-383-9598
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC2000X |
| Taxonomy | Children's Hospital |
| License Number | MD035116 |
| License Number State | DC |
VIII. Authorized Official
Name: DR.
CRAIG
SABLE
Title or Position: CARDIOLOGY FELLOWSHIP DIRECTOR
Credential: MD
Phone: 202-884-2020