Provider Demographics
NPI:1609852052
Name:TOPPS, JACINTA (MD)
Entity Type:Individual
Prefix:
First Name:JACINTA
Middle Name:
Last Name:TOPPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 FALL HILL AVE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3342
Mailing Address - Country:US
Mailing Address - Phone:540-899-2555
Mailing Address - Fax:540-899-3554
Practice Address - Street 1:2300 FALL HILL AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3342
Practice Address - Country:US
Practice Address - Phone:540-899-2555
Practice Address - Fax:540-899-3554
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101230344208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE68508Medicare UPIN