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Annandale Ob Gyn
Specialist in Annandale, Virginia
NPI 1811057102

Annandale Ob Gyn is a Specialist based in Merrifield, VA. Annandale Ob Gyn practices in Annandale, VA. The NPI Number for Annandale Ob Gyn is 1811057102 and holds a License No. (Virginia).

The current practice location address for Annandale Ob Gyn is 4208 Evergreen Ln, Annandale, VA and can be reached out via phone at 703-642-7522. You can also correspond with Annandale Ob Gyn through the mailing address at PO BOX 3028, MERRIFIELD, VA - 22116-3028 (mailing address contact number: 703-642-7522).

Location: 4208 Evergreen Ln, Annandale, VA, 22116-3028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811057102
Provider Name
Annandale Ob Gyn
Credential
Provider Entity Type
Organization
Address
4208 Evergreen Ln, Annandale, VA, 22116-3028
Phone Number
703-642-7522
Fax Number
Provider Enumeration Date
12/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010179785 05 VA
institution
Provider Business Practice Location Address Details
Address
4208 Evergreen Ln
City
Annandale
State
Virginia
Zip
22003-3235
Phone Number
703-642-7522
Fax Number
person
Provider Business Mailing Address Details
Address
4208 Evergreen Ln
City
Annandale
State
Virginia
Zip
22003-3235
Phone Number
703-642-7522
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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