GW THE MEDICAL FACULTY ASSOCIATE

WASHINGTON, DC
NPI1033590724
Entity TypeOrganization
Authorized ContactROGER MAGBOO BRUCAL
Nurse Practitioner
240-481-3356
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: DC  RN1004515)
Enumeration Date2015-06-18
Last Update Date2015-06-18
Business Address
GW THE MEDICAL FACULTY ASSOCIATE
2150 PENNSYLVANIA AVE NW DEPARTMENT OF SURGERY, SUITE 6B-412
WASHINGTON, DC 20037-3201
Phone number: 202-741-3225
Mailing Address
GW THE MEDICAL FACULTY ASSOCIATE
10401 GROSVENOR PL APT 1311
ROCKVILLE, MD 20852-4646
Phone number: 240-481-3356