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Contact Information

PHS CENTER FOR LIFE SC 2ND FLOOR
1150 VARNUM ST NE
ST. CATHERINE'S HALL, 2ND FLOOR
WASHINGTON, DC20017-2107
 Phone: 202-269-7074
 Fax: 202-372-0026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PHS CENTER FOR LIFE SC 2ND FLOOR · (Female)

NPI # 1831467356
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • DC License # HFD01-0212
  • DC Medicaid 029833400
  • MD Medicaid 005145400
  • VA Medicaid 09810714
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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