Basic Information
| Provider Information | |||||||||
| NPI: | 1184881500 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOWARD UNIVERSITY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5055 SEMINARY | ||||||||
| Address2: | APT# 201 | ||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223112003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038882850 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2041 GEORGIA AVENUE NW | ||||||||
| Address2: | HOWARD UNIVERSITY HOSPITAL | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028656100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2008 | ||||||||
| LastUpdateDate: | 05/22/2008 | ||||||||
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| AuthorizedOfficialLastName: | SEALY | ||||||||
| AuthorizedOfficialFirstName: | PETER | ||||||||
| AuthorizedOfficialMiddleName: | LAWSON | ||||||||
| AuthorizedOfficialTitleorPosition: | PROGRAM DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2028651920 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | Y | Hospitals | General Acute Care Hospital | Critical Access |
No ID Information.