Search › District of Columbia › 374U00000X
Cornelius Fomelachfossung
NPI 1316401979 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4201 9th St Nw
Washington, DC 20011 - Phone
- (202) 247-1076
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia