EASTON L MANDERSON MD

Dr EASTON L MANDERSON MD is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1971 from Howard University College Of Medicine.

Contact

1140 VARNUM ST NE
SUITE 207
WASHINGTON
DC
200172153

Tel:

EASTON L MANDERSON MD Information

Npi 1972532760
Pac Id 3678463866
Professional Enrollment Id I20040326000591
Last Name MANDERSON
First Name EASTON
Middle Name L
Suffix
Gender M
Credential MD
Medical School Name HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1971
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1140 VARNUM ST NE
Line 2 Street Address SUITE 207
Marker Of Address Line 2 Suppression
City WASHINGTON
State DC
Zip Code 200172153
Phone Number
Hospital Affiliation Ccn 1 090011
Hospital Affiliation Lbn 1 MEDSTAR WASHINGTON HOSPITAL CENTER
Hospital Affiliation Ccn 2 090003
Hospital Affiliation Lbn 2 HOWARD UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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