Provider Demographics
NPI:1578535340
Name:FOXX, WANDA D (MD)
Entity Type:Individual
Prefix:
First Name:WANDA
Middle Name:D
Last Name:FOXX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WANDA
Other - Middle Name:LEE DICKSON
Other - Last Name:FOXX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3756 EQUINOX WAY
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1859
Mailing Address - Country:US
Mailing Address - Phone:703-447-0971
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4900
Practice Address - Fax:301-319-1940
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00004383208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics