Provider Demographics
NPI:1720167398
Name:OBGYN PHYSICIANS OF WASHINGTON, CHTD.
Entity Type:Organization
Organization Name:OBGYN PHYSICIANS OF WASHINGTON, CHTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:SAFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-331-9293
Mailing Address - Street 1:2141 K STREET, N.W.
Mailing Address - Street 2:#808
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1810
Mailing Address - Country:US
Mailing Address - Phone:202-331-9293
Mailing Address - Fax:202-659-0485
Practice Address - Street 1:2141 K ST NW
Practice Address - Street 2:#808
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1810
Practice Address - Country:US
Practice Address - Phone:202-331-9293
Practice Address - Fax:202-659-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
435656Medicare ID - Type UnspecifiedGROUP IDENTIFICATION