Provider Demographics
NPI:1679780159
Name:WASHINGTON, NECOLE ELEASE (MD)
Entity type:Individual
Prefix:DR
First Name:NECOLE
Middle Name:ELEASE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:16525 GOVERNOR BRIDGE RD
Mailing Address - Street 2:APT. 305
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3673
Mailing Address - Country:US
Mailing Address - Phone:301-352-3451
Mailing Address - Fax:
Practice Address - Street 1:2905 MITCHELLVILLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1385
Practice Address - Country:US
Practice Address - Phone:301-218-0398
Practice Address - Fax:301-218-0040
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD583772080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine