Provider Demographics
NPI:1558460501
Name:NORTHERN VIRGINIA PHYSICIANS TO WOMEN, LTD.
Entity Type:Organization
Organization Name:NORTHERN VIRGINIA PHYSICIANS TO WOMEN, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRITTELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-525-8800
Mailing Address - Street 1:1635 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3616
Mailing Address - Country:US
Mailing Address - Phone:703-525-8800
Mailing Address - Fax:703-525-8830
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3616
Practice Address - Country:US
Practice Address - Phone:703-525-8800
Practice Address - Fax:703-525-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01663Medicare PIN