Healthcare Provider Details

I. General information

NPI: 1023179124
Provider Name (Legal Business Name): GEORGETOWN UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3123 7TH STREET SOUTH
ARLINGTON VA
22204-2407
US

IV. Provider business mailing address

3123 7TH ST S
ARLINGTON VA
22204-2407
US

V. Phone/Fax

Practice location:
  • Phone: 703-271-9454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License NumberRN34690
License Number StateDC

VIII. Authorized Official

Name: MS. CAROLYN KAY FRANCISC
Title or Position: HEMOPHILIA RESEARCH COORDINATOR
Credential: RN, CNP, MS
Phone: 202-687-0117