institution
Dora Mamodesene,md,pc
Primary Care Clinic/Center in Washington, District of Columbia
NPI 1144454141

Dora Mamodesene,md,pc is a Primary Care Clinic/Center based in Silver Spring, DC and is specialized in Primary Care. Dora Mamodesene,md,pc practices in Washington, DC. The NPI Number for Dora Mamodesene,md,pc is 1144454141 and holds a License No. 14222MD (District of Columbia).

The current practice location address for Dora Mamodesene,md,pc is 7733 Alaska Ave Nw, Washington, DC and can be reached out via phone at 202-882-5300 and via fax at 301-989-2276.

Location: 7733 Alaska Ave Nw, Washington, DC, 20905-5564
institution
Provider Profile Details
NPI Number
1144454141
Provider Name
Dora Mamodesene,md,pc
Credential
Provider Entity Type
Organization
Address
7733 Alaska Ave Nw, Washington, DC, 20905-5564
Phone Number
202-882-5300
Fax Number
301-989-2276
Provider Enumeration Date
05/06/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000148491 01 MD MEDICARE
institution
Provider Business Practice Location Address Details
Address
7733 Alaska Ave Nw
City
State
Zip
20012-1421
Phone Number
202-882-5300
Fax Number
301-989-2276
person
Provider Business Mailing Address Details
Address
7733 Alaska Ave Nw
City
State
Zip
20012-1421
Phone Number
202-882-5300
Fax Number
301-989-2276
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
14222MD (District of Columbia)
Definition
Definition to come...
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