Provider Demographics
NPI:1407085434
Name:BRELSFORD, MEGAN ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ANN
Last Name:BRELSFORD
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:44110 ASHBURN SHOPPING PLZ UNIT 237
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7912
Mailing Address - Country:US
Mailing Address - Phone:703-687-3105
Mailing Address - Fax:571-291-2338
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:CHARETTE HEALTH CARE CENTER
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708
Practice Address - Country:US
Practice Address - Phone:757-953-0291
Practice Address - Fax:757-953-0862
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2018-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102202274207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology