Provider Demographics
NPI:1477046647
Name:JOHN F DOMBROWSKI MD PC
Entity Type:Organization
Organization Name:JOHN F DOMBROWSKI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:DOMBROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-362-4787
Mailing Address - Street 1:3301 NEW MEXICO AVE NW STE 346
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3623
Mailing Address - Country:US
Mailing Address - Phone:240-362-3551
Mailing Address - Fax:202-595-7820
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 346
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3623
Practice Address - Country:US
Practice Address - Phone:240-362-3551
Practice Address - Fax:202-595-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD21491332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site