MEDICARE: DR. HILARY HERBERT WASHINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D32800	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C438 0001	OTHER	DC	BCBS

General Provider Information

NPI Number	:	1023146438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HILARY HERBERT WASHINGTON

Provider Business Mailing Address
First Line	:	11701 LIVINGSTON RD
Second Line	:	SUITE 205
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-5104
Country	:	US
Telephone Number	:	301-292-0052
Fax Number	:	301-292-1256

Provider Business Practice Location Address
First Line	:	11701 LIVINGSTON RD
Second Line	:	SUITE 205
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-5104
Country	:	US
Telephone Number	:	301-292-0052
Fax Number	:	301-292-1256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	09/28/2018

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Directions to “ DR. HILARY HERBERT WASHINGTON ” Practice Location

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