Nicol Renee Awadalla Bacon
MD | Developmental - Behavioral Pediatrics | Female
Nicol Renee Awadalla Bacon, MD is a Washington, District Of Columbia based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Nicol Renee Awadalla Bacon is
111 Michigan Ave Nw, Washington, District Of Columbia - 20010-2916. She can be contacted on phone at
202-476-5000.
Nicol Renee Awadalla Bacon is a sole proprietor of her business.
NPI number (Unique professional ID) for Nicol Renee Awadalla Bacon is
1104062454 which was assigned by NPPES on 16 Dec, 2008 and it was last updated on 18 Oct, 2018.
Nicol Renee Awadalla Bacon license number is
MD046588 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in District Of Columbia.
Nicol Renee Awadalla Bacon is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Nicol Renee Awadalla Bacon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Nicol Renee Awadalla Bacon |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Nicol Renee Awadalla Bacon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 111 Michigan Ave Nw
Washington, DC, 20010-2916
United States |
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| Phone Number : | 202-476-5000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104062454 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Dec, 2008 |
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| Last Updated On : | 18 Oct, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicol Renee Awadalla Bacon are as mentioned. Primary taxonomy code for Nicol Renee Awadalla Bacon, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | MD046588 | DC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 37215
Baltimore, MD, 21297-3215
United States |
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| Phone Number : | 202-476-5000 |
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Business Location:
Patients can refer following map for directions to
Nicol Renee Awadalla Bacon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.