| Emerson Community Clinic | |
|
508 Kennedy St Nw Ste 207 Washington DC 20011 | |
| (202) 239-0777 | |
| (202) 849-8814 |
| Full Name | Emerson Community Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 508 Kennedy St Nw Ste 207, Washington, District Of Columbia |
| Authorized Official Name and Position | Fabian Sandoval (CEO) |
| Authorized Official Contact | 2022390777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerson Community Clinic 508 Kennedy St Nw Ste 306 Washington DC 20011-3010 Ph: (202) 239-0777 | Emerson Community Clinic 508 Kennedy St Nw Ste 207 Washington DC 20011 Ph: (202) 239-0777 |
| NPI Number | 1972099083 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972099083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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