Provider Demographics
NPI:1669636809
Name:ARTHUR, CAROLINE LYLE (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:LYLE
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3620 JOSEPH SIEWICK DR
Mailing Address - Street 2:SUITE 406
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1756
Mailing Address - Country:US
Mailing Address - Phone:703-359-8640
Mailing Address - Fax:703-259-6324
Practice Address - Street 1:3620 JOSEPH SIEWICK DR
Practice Address - Street 2:SUITE 406
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1756
Practice Address - Country:US
Practice Address - Phone:703-359-8640
Practice Address - Fax:703-259-6324
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2013-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0116020501208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1669636809Medicaid