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NPI Code Detail

MEDICARE: BIO-MEDICAL APPLICATIONS OF ANACOSTIA, INC.

MEDICARE: BIO-MEDICAL APPLICATIONS OF ANACOSTIA, INC.
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1578667341
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF ANACOSTIA, INC.
Provider Business Mailing Address
First Line : 3929 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2662
Country : US
Telephone Number : 202-397-2700
Fax Number : 202-397-8860
Provider Business Practice Location Address
First Line : 3929 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2662
Country : US
Telephone Number : 202-397-2700
Fax Number : 202-397-8860
Authorized Official
Title or Position : VICE PRESIDENT
Name : JAMES J. DIVITO
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 09/12/2006
Last Update Date : 10/06/2020

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