Provider Demographics
NPI:1952487647
Name:PERFECTLY FEMALE WOMEN HEALTH CARE
Entity type:Organization
Organization Name:PERFECTLY FEMALE WOMEN HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:SYLVIA
Authorized Official - Last Name:FELLUCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-796-0200
Mailing Address - Street 1:1860 TOWN CENTER DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190
Mailing Address - Country:US
Mailing Address - Phone:703-796-0200
Mailing Address - Fax:703-796-1690
Practice Address - Street 1:1860 TOWN CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5898
Practice Address - Country:US
Practice Address - Phone:703-796-0200
Practice Address - Fax:703-796-1690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty