Provider Demographics
NPI:1154329126
Name:DOMBROWSKI, JOHN FRANCIS
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANCIS
Last Name:DOMBROWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 NEW MEXICO AVE NW STE 346NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3622
Mailing Address - Country:US
Mailing Address - Phone:202-362-4787
Mailing Address - Fax:202-365-4252
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 346NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3622
Practice Address - Country:US
Practice Address - Phone:202-362-4787
Practice Address - Fax:202-365-4252
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21491208VP0000X
MDMD21491207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCJ4480001OtherCAREFIRST BCBS
DC62926201OtherBSBC
DC491717Medicare PIN
DCJ4480001OtherCAREFIRST BCBS
MD006907M73Medicare PIN
DC62926201OtherBSBC
DCP00140776Medicare PIN
DCG02644J01Medicare PIN