Organization
M RUTH INFANTE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY RUTH INFANTE M.D. (OWNER)
(703) 575-8101
Entity
Organization
Contact information
Practice address
1500 N. BEAUREGARD ST,, SUITE 240, ALEXANDRIA, VA 22311-1715
(703) 575-8101
(703) 575-8373
Mailing address
1500 N. BEAUREGARD ST,, SUITE 240, ALEXANDRIA, VA 22311-1715
(703) 575-8101
(703) 575-8373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101-046537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101309
—
VA
Enumeration date
11/03/2014
Last updated
04/27/2015
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