| |
1015 15th St Nw Ste 600 Washington DC 20005-2605 | |
(202) 417-2683 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1015 15th St Nw Ste 600, Washington, District Of Columbia |
Authorized Official Name and Position | Don Coleman (CMO) |
Authorized Official Contact | 2025280026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1015 15th St Nw Ste 600 Washington DC 20005-2605 Ph: () - | 1015 15th St Nw Ste 600 Washington DC 20005-2605 Ph: (202) 417-2683 |
NPI Number | 1962154286 |
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Provider Enumeration Date | 01/19/2022 |
Last Update Date | 02/14/2022 |
Medicare PECOS PAC ID | 7012303092 |
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Medicare Enrollment ID | O20220330001990 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962154286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Don M Coleman |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1740270347 PECOS PAC ID: 4688665631 Enrollment ID: I20070614000597 |
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