Provider Demographics
NPI:1598022345
Name:WASHINGTON ORTHOPAEDIC CENTER LLC
Entity Type:Organization
Organization Name:WASHINGTON ORTHOPAEDIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-839-1600
Mailing Address - Street 1:PO BOX 789
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20750-0789
Mailing Address - Country:US
Mailing Address - Phone:301-839-3373
Mailing Address - Fax:301-749-0027
Practice Address - Street 1:2112 F ST NW
Practice Address - Street 2:SUITE 804
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2715
Practice Address - Country:US
Practice Address - Phone:202-331-2080
Practice Address - Fax:202-331-2380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC037418200Medicaid
DC037418200Medicaid