Provider Demographics
NPI:1124212832
Name:CZARNOGORSKI, MAGGIE (MD)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:CZARNOGORSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 TUNLAW RD NW
Mailing Address - Street 2:APT #6
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1301
Mailing Address - Country:US
Mailing Address - Phone:301-435-8197
Mailing Address - Fax:301-402-1137
Practice Address - Street 1:1012 14TH ST NW
Practice Address - Street 2:SUITE 700
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3406
Practice Address - Country:US
Practice Address - Phone:202-638-0750
Practice Address - Fax:202-638-0749
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036128207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine