institution
Mgmc, Llc
General Practice Physician in Washington, District of Columbia
NPI 1891797148

Mgmc, Llc is a General Practice Physician based in Boston, DC. Mgmc, Llc practices in Washington, DC. The NPI Number for Mgmc, Llc is 1891797148 and holds a License No. (District of Columbia).

The current practice location address for Mgmc, Llc is 3800 Reservoir Rd Nw, Washington, DC and can be reached out via phone at 888-896-1400.

Location: 3800 Reservoir Rd Nw, Washington, DC, 02241-8283
institution
Provider Profile Details
NPI Number
1891797148
Provider Name
Mgmc, Llc
Credential
Provider Entity Type
Organization
Address
3800 Reservoir Rd Nw, Washington, DC, 02241-8283
Phone Number
888-896-1400
Fax Number
Provider Enumeration Date
06/01/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W678 01 DC BLUESHIELD ADULT PCP GRP#
220004006 05 MD
6555 01 DC BLUE SHIELD GROUP NUMBER
W676 01 DC BLUE SHIELD PEDS PCP GRP#
027332900 05 DC
institution
Provider Business Practice Location Address Details
Address
3800 Reservoir Rd Nw
City
State
Zip
20007-2113
Phone Number
888-896-1400
Fax Number
person
Provider Business Mailing Address Details
Address
3800 Reservoir Rd Nw
City
State
Zip
20007-2113
Phone Number
888-896-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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