Provider Demographics
NPI:1114997566
Name:MARZILLI, DANA FIGUEROA (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:FIGUEROA
Last Name:MARZILLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8008 WESTPARK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3109
Mailing Address - Country:US
Mailing Address - Phone:703-287-4561
Mailing Address - Fax:703-287-4551
Practice Address - Street 1:176F 10270C
Practice Address - Street 2:619 19TH ST. SOUTH
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0001
Practice Address - Country:US
Practice Address - Phone:205-873-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD03557207V00000X
ALMD28827207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC408535300Medicaid
AL101522Medicaid
DC010193737Medicaid
DC036980900Medicaid
AL101522Medicaid
DCI44032Medicare UPIN