Model Treatment | |
1300 1st St Ne 2nd Floor Washington DC 20002 | |
(202) 727-6916 | |
(202) 727-0092 |
Full Name | Model Treatment |
---|---|
Speciality | Clinic/center |
Location | 1300 1st St Ne 2nd Floor, Washington, District Of Columbia |
Authorized Official Name and Position | Charles Hall (MEDICAL DIRECTOR) |
Authorized Official Contact | 2027278941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Model Treatment 1300 1st St Ne Rm 315 Washington DC 20002-3335 Ph: (202) 727-9569 | Model Treatment 1300 1st St Ne 2nd Floor Washington DC 20002 Ph: (202) 727-6916 |
NPI Number | 1245450063 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245450063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | PMO242456 (District Of Columbia) | Primary |
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