Provider Demographics
NPI:1265699078
Name:WHITE, MOLLY J (MD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:J
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:P.O. BOX 37189
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3189
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:8100 ASHTON AVE SUITE 101
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-1710
Practice Address - Country:US
Practice Address - Phone:703-257-8090
Practice Address - Fax:703-257-7822
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2023-06-26
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Provider Licenses
StateLicense IDTaxonomies
VA0101243967207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine