Provider Demographics
NPI:1295795516
Name:GARREAU, ELIZABETH ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:GARREAU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3998 FAIR RIDGE DRIVE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:703-218-5357
Mailing Address - Fax:703-218-5357
Practice Address - Street 1:3998 FAIR RIDGE DRIVE
Practice Address - Street 2:SUITE 270
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-218-5357
Practice Address - Fax:703-218-5358
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2015-08-12
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Provider Licenses
StateLicense IDTaxonomies
VA0101043248207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAGAO708812Medicare PIN
VAF42653Medicare UPIN