PHS BARIATRIC CARE CENTER DP110

WASHINGTON, DC
NPI1659649176
Other NamePROVIDENCE HEALTH SERVICES
Entity TypeOrganization
Authorized ContactCHARLES F HABERKERN
VP
202-854-4255
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
(Licence: DC  HFD01-0212)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: DC  HFD01-0212)
282N00000X General Acute Care Hospital
(Licence: DC  HFD01-0212)
Enumeration Date2011-12-12
Last Update Date2016-09-06
Business Address
PHS BARIATRIC CARE CENTER DP110
1160 VARNUM ST NE DEPAUL BUILDING SUITE 110
WASHINGTON, DC 20017-2107
Phone number: 202-854-4080
Mailing Address
PHS BARIATRIC CARE CENTER DP110
1160 VARNUM ST NE ST CATHERINE'S HALL, ROOM 102
WASHINGTON, DC 20017-2107
Phone number: 202-854-4069