Provider Demographics
NPI:1487663001
Name:GWOZDZ, NICHOLAS EDWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:EDWARD
Last Name:GWOZDZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:600 NEW HAMPSHIRE AVE NW
Mailing Address - Street 2:#359
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2403
Mailing Address - Country:US
Mailing Address - Phone:202-337-4080
Mailing Address - Fax:202-333-5225
Practice Address - Street 1:600 NEW HAMPSHIRE AVE NW
Practice Address - Street 2:#359
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2403
Practice Address - Country:US
Practice Address - Phone:202-337-4080
Practice Address - Fax:202-333-5225
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
DCDC3282207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCB94065Medicare UPIN
DC173385Medicare ID - Type Unspecified