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Foggy Bottom Physician Group INC.

Clinic/Center, Multi-Specialty in Washington, DC. Organization (NPI-2).

NPI number1477458016
StatusActive
Last updated in NPPESOct 13, 2026

Details

NPI
1477458016
Entity type
Organization (NPI-2)
Legal business name
Foggy Bottom Physician Group INC.
Organization subpart
No
Enumeration date
Oct 13, 2026
Certification date
Oct 13, 2026
Last updated
Oct 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
207T00000X Neurological Surgery––

Practice location

2150 Pennsylvania Ave Nw Fl 7
Washington, DC 20037-3201

Phone 202-741-2750

Mailing address

367 S Gulph Rd
King Of Prussia, PA 19406-3121

Authorized official

Gary Simkus
Cfo
6103824422

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