person
Dr. Philip Laurence Mussenden SR., MD
General Practice Physician in Washington, District of Columbia
NPI 1184702599

Philip Laurence Mussenden SR. is a General Practice Physician based in Washington, DC. Philip Laurence Mussenden SR. practices in Washington, DC and has the professional credentials of MD. The NPI Number for Philip Laurence Mussenden SR. is 1184702599 and holds a License No. MD25777 (District of Columbia).

The current practice location address for Philip Laurence Mussenden SR. is 1647 Benning Road, N.e., Washington, DC and can be reached out via phone at 202-396-4774 and via fax at 202-396-8840.

Location: 1647 Benning Road, N.e., Washington, DC, 20002-4588
person
Provider Profile Details
NPI Number
1184702599
Provider Name
Philip Laurence Mussenden SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1647 Benning Road, N.e., Washington, DC, 20002-4588
Phone Number
202-396-4774
Fax Number
202-396-8840
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005271000 01 MD MEDICAID
4278 01 BLUE CROSS BLUE SHIELD
022494800 05 DC
1871663200 01 FIRST HEALTH
institution
Provider Business Practice Location Address Details
Address
1647 Benning Road, N.e.
City
State
Zip
20002-4588
Phone Number
202-396-4774
Fax Number
202-396-8840
person
Provider Business Mailing Address Details
Address
1647 Benning Road, N.e.
City
State
Zip
20002-4588
Phone Number
202-396-4774
Fax Number
202-396-8840
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD25777 (District of Columbia)
Definition
Definition to come...
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