Provider Demographics
NPI:1831107697
Name:MAJOR, MARY JANE (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:JANE
Last Name:MAJOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3022 WILLIAMS DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:703-573-9800
Mailing Address - Fax:703-573-2959
Practice Address - Street 1:3833 FAIRFAX DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1772
Practice Address - Country:US
Practice Address - Phone:703-525-8863
Practice Address - Fax:703-525-2387
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2014-12-01
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Provider Licenses
StateLicense IDTaxonomies
VA0101031993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6026729Medicaid
110153963OtherRR MEDICARE
110153963OtherRR MEDICARE
108678G45Medicare PIN