Provider Demographics
NPI:1629234737
Name:DREYFUSS, ADRIENNE N (MD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:N
Last Name:DREYFUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:
Other - Last Name:NORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:410 MAPLE AVENUE WEST
Mailing Address - Street 2:STE. 5
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:20180
Mailing Address - Country:US
Mailing Address - Phone:703-938-2244
Mailing Address - Fax:703-938-3669
Practice Address - Street 1:410 MAPLE AVENUE WEST
Practice Address - Street 2:STE. 5
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:20180
Practice Address - Country:US
Practice Address - Phone:703-938-2244
Practice Address - Fax:703-938-3669
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.127392208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics