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Organization

GLENNA R ANDERSEN MD DARYA B MAANAVI MD LTD

Active
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Organization

GLENNA R ANDERSEN MD DARYA B MAANAVI MD LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENNA R ANDERSEN MD (PHYSICIAN PRESIDENT)
(703) 560-1611
Entity
Organization

Contact information

Practice address
8501 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031
(703) 560-1611
(703) 573-0217
Mailing address
6035 BURKE CENTRE PKWY, SUITE 390, BURKE, VA 22015-3750
(703) 978-1196
(703) 978-7762

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
08/17/2006
Last updated
01/31/2008
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