Provider Demographics
NPI:1760803480
Name:DESMARTEAU, JOHN KENTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KENTON
Last Name:DESMARTEAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4651 MASSACHUSETTS AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2361
Mailing Address - Country:US
Mailing Address - Phone:202-237-2719
Mailing Address - Fax:202-558-6742
Practice Address - Street 1:4651 MASSACHUSETTS AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2361
Practice Address - Country:US
Practice Address - Phone:202-237-2719
Practice Address - Fax:202-558-6742
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD034913202C00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner