PHS PROVIDENCE DIABETES AND NUTRITION CENTER

WASHINGTON, DC
NPI1881859817
Other NamePHS JOSLIN DIABETES CENTER DP110
Entity TypeOrganization
Authorized ContactBEAU HIGGINBOTHAM
Vice President/COO
410-368-3162
Organization Subpart ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: DC  HFD01-0212)
Additional Taxonomies208600000X Surgery
(Licence: DC  HFD01-0212)
Enumeration Date2008-07-18
Last Update Date2017-10-09
Business Address
PHS PROVIDENCE DIABETES AND NUTRITION CENTER
1160 VARNUM ST NE DEPAUL 110
WASHINGTON, DC 20017-2107
Phone number: 202-854-7123
Mailing Address
PHS PROVIDENCE DIABETES AND NUTRITION CENTER
1160 VARNUM ST NE ST. CATHERINE'S HALL, ROOM 102
WASHINGTON, DC 20017-2107
Phone number: 202-854-4069