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ANDROMEDA TRANSCULTURAL HEALTH

Physicians Family Medicine

Provider NPI: 1235525692

Organization Information:
Organization Name:  ANDROMEDA TRANSCULTURAL HEALTH
Organization is not Subpart
Authorized Official:  ALVARO  GUZMAN  INTERIM EXECUTIVE DIRECTOR  202-291-4707

Practice Location:
1400 DECATUR ST NW  WASHINGTON, DC 20011-4343 US
Tel: 202-291-4707  Fax: 202-723-4560

Business Mailing Address:
1400 DECATUR ST NW  WASHINGTON, DC 20011-4343 US
Tel: 202-291-4707  Fax: 202-723-4560

NPI Information:
NPI: 1235525692
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XPhysicians
Family Medicine
N261QC1500XAmbulatory Health Care Facilities
Clinic/Center
VA0202209782
Y261QC1500XAmbulatory Health Care Facilities
Clinic/Center
DCPH100000948

Other Provider Identifiers:

IssuerNumberStateType
1568634590DC05



American Medical Association 2012 taxonomy code information

Code: 261QC1500X

Type:

Classification:



Definition:



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