Provider Demographics
NPI:1952517997
Name:NOONAN, DANIEL J (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:NOONAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8642 RESECA LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1411
Mailing Address - Country:US
Mailing Address - Phone:703-249-9079
Mailing Address - Fax:703-249-5186
Practice Address - Street 1:3915 OLD LEE HWY
Practice Address - Street 2:UNIT 21C
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2432
Practice Address - Country:US
Practice Address - Phone:703-691-4000
Practice Address - Fax:703-249-5186
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2013-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101032425207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology