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Dr. Wendy Ruth Gottlieb, MD
Specialist in Reston, Virginia
NPI 1073573382

Wendy Ruth Gottlieb is a Specialist based in Reston, VA. Wendy Ruth Gottlieb practices in Reston, VA and has the professional credentials of MD. The NPI Number for Wendy Ruth Gottlieb is 1073573382 and holds a License No. 0101231213 (Virginia).

The current practice location address for Wendy Ruth Gottlieb is 1800 Town Center Dr, Reston, VA and can be reached out via phone at 703-668-9499 and via fax at 703-689-4998.

Location: 1800 Town Center Dr, Reston, VA, 20190-3215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073573382
Provider Name
Wendy Ruth Gottlieb
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1800 Town Center Dr, Reston, VA, 20190-3215
Phone Number
703-668-9499
Fax Number
703-689-4998
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01-00444448 05 VA
institution
Provider Business Practice Location Address Details
Address
1800 Town Center Dr
City
Reston
State
Virginia
Zip
20190-3215
Phone Number
703-668-9499
Fax Number
703-689-4998
person
Provider Business Mailing Address Details
Address
1800 Town Center Dr
City
Reston
State
Virginia
Zip
20190-3215
Phone Number
703-668-9499
Fax Number
703-689-4998
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101231213 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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