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Other Service Providers Medical Genetics, Ph.D. Medical Genetics

Provider NPI: 1265087159

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 202-650-9370  Fax: --

Business Mailing Address:
829 6TH ST NE  WASHINGTON, DC 20002-4325 US
Tel: --  Fax: --

NPI Information:
NPI: 1265087159
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y170100000XOther Service Providers
Medical Genetics, Ph.D. Medical Genetics

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 170100000X





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