Individual
DR. ELISABETH ANN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4613 40TH ST N, ARLINGTON, VA 22207-2961
(301) 518-4676
Mailing address
4613 40TH ST N, ARLINGTON, VA 22207-2961
(301) 518-4676
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
D0061008
MD
207RI0200X
Infectious Disease Physician
Primary
MD034566
DC
Other
Enumeration date
10/13/2005
Last updated
07/21/2016
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