Provider Demographics
NPI:1073761276
Name:VANACHTERBERG, MARGRIET ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGRIET
Middle Name:ELLEN
Last Name:VANACHTERBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:50 E ST SE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2620
Mailing Address - Country:US
Mailing Address - Phone:202-810-1923
Mailing Address - Fax:202-543-2332
Practice Address - Street 1:50 E ST SE
Practice Address - Street 2:SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2620
Practice Address - Country:US
Practice Address - Phone:202-810-1923
Practice Address - Fax:202-543-2332
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0373602084P0804X
MDD00589872084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry