Provider Demographics
NPI:1922242460
Name:HOLMBERG, SARA H
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:H
Last Name:HOLMBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 N GLEBE RD
Mailing Address - Street 2:STE 430
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5931
Mailing Address - Country:US
Mailing Address - Phone:703-971-7633
Mailing Address - Fax:703-971-0997
Practice Address - Street 1:1005 N GLEBE RD
Practice Address - Street 2:STE 430
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5931
Practice Address - Country:US
Practice Address - Phone:703-971-7633
Practice Address - Fax:703-971-0997
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101254186207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology