Provider Demographics
NPI:1023146438
Name:WASHINGTON, HILARY HERBERT
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:HERBERT
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:HERBERT
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11701 LIVINGSTON RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5104
Mailing Address - Country:US
Mailing Address - Phone:301-292-0052
Mailing Address - Fax:301-292-1256
Practice Address - Street 1:11701 LIVINGSTON RD
Practice Address - Street 2:SUITE 205
Practice Address - City:FT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5104
Practice Address - Country:US
Practice Address - Phone:301-292-0052
Practice Address - Fax:301-292-1256
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD32800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCC438 0001OtherBCBS
DCC438 0001OtherBCBS
MDE30172Medicare UPIN