Provider Demographics
NPI:1245492644
Name:HOLLANDER, CARYN (MD)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARYN
Other - Middle Name:
Other - Last Name:MALKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:667 KINGSBOROUGH SQ
Mailing Address - Street 2:STE 200
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4999
Mailing Address - Country:US
Mailing Address - Phone:757-436-0167
Mailing Address - Fax:757-436-0236
Practice Address - Street 1:700 INDEPENDENCE CIR STE 1D
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6405
Practice Address - Country:US
Practice Address - Phone:757-497-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248893207V00000X
VA0116016646390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program