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Individual

MRS. BINA A FENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6420 B GEORGE WASHINGTON MEMORIAL HIGHWAY, YORKTOWN, VA 23692
(757) 969-6544
(757) 969-6545
Mailing address
2109 HARPERS MILL ROAD, WILLIAMSBURG, VA 23185
(757) 903-5074
(518) 395-9431

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
198314-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00475521
NY
Enumeration date
10/17/2005
Last updated
08/06/2012
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