MEDICARE: DR. JOHN FRANCIS DOMBROWSKI

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	208VP0000X	Pain Medicine Physician	MD21491	DC
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician	MD21491	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J4480001	OTHER	DC	CAREFIRST BCBS
2	62926201	OTHER	DC	BSBC

General Provider Information

NPI Number	:	1154329126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN FRANCIS DOMBROWSKI

Provider Business Mailing Address
First Line	:	3301 NEW MEXICO AVE NW STE 346NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3622
Country	:	US
Telephone Number	:	202-362-4787
Fax Number	:	202-365-4252

Provider Business Practice Location Address
First Line	:	3301 NEW MEXICO AVE NW STE 346NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3622
Country	:	US
Telephone Number	:	202-362-4787
Fax Number	:	202-365-4252

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	02/03/2020

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Directions to “ DR. JOHN FRANCIS DOMBROWSKI ” Practice Location

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