Basic Information
Provider Information
NPI: 1396825378
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WRIGHT
FirstName: MAURICE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 771 3RD ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200024311
CountryCode: US
TelephoneNumber: 2404478838
FaxNumber:  
Practice Location
Address1: 700 2ND ST NE
Address2: KAISER PERMANENTE, CAPITOL HILL CENTER
City: WASHINGTON
State: DC
PostalCode: 200028100
CountryCode: US
TelephoneNumber: 2023463000
FaxNumber: 2023463402
Other Information
ProviderEnumerationDate: 10/16/2006
LastUpdateDate: 01/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD34147DCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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