| NPI Details | |
|---|---|
| NPI | 1154753564 |
| Enumeration Date | 08/07/2013 |
| Last Updated | 08/07/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | DAWNIELLE DAWNIELLE |
| Position | SOLE MBR |
| Phone | (202) 574-6855 |
| Fax | |
| Practice Location | |
|---|---|
| 1310 SOUTHERN AVE SE WASHINGTON DC, 20032-4623, US |
|
| Phone | (202) 574-6855 |
| Fax | |
| Business Location | |
|---|---|
| 7708 MYSTIC RIVER TER GLENN DALE MD, 20769-9715, US |
|
| Phone | (301) 257-5145 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207RC0200X |
| License State | DO Columbia |
| License Number | MD036046 |
| Remove 1154753564 NPI Number | |
According to our database, Adad Complex Medical NPI is 1154753564, taxonomy code is 207RC0200X and license number is MD036046, license state is located at DO Columbia. Adad Complex Medical physically located at 1310 Southern Ave Se, Washington DC, 20032-4623. NPI Number 1033115704 has the healthcare provider type.
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1154753564 NPI number is provided on an as is basis without warranty of any kind. 1154753564 is maintained by the National Plan & Provider Enumeration System. The contents of Adad Complex Medical are for informational purposes only.
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