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Individual

DR. CAMILLA C. HERSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1800 TOWN CENTER DRIVE SUITE 220, RESTON, VA 20190-3238
(703) 435-2555
(571) 926-8910
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101040930
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114996071
VA
05
30015952540002
VA
01
P01240011
RAILROAD MEDICARE
DC
Enumeration date
03/14/2006
Last updated
03/12/2024
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