Provider Demographics
NPI:1851745251
Name:STACHOWICZ, KATHERINE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:STACHOWICZ
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:9300 DEWITT LOOP
Mailing Address - Street 2:RIVER PAVILION, 1ST FLOOR, RECEPTION DESK 2
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5258
Mailing Address - Country:US
Mailing Address - Phone:571-231-0777
Mailing Address - Fax:571-231-6633
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:RIVER PAVILION, 1ST FLOOR, RECEPTION DESK 2
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060
Practice Address - Country:US
Practice Address - Phone:571-231-0777
Practice Address - Fax:571-231-6633
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102205843207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine