Organization
ABOUT WOMEN OB/GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA F HATCHER-RAFFERT (ADMINISTRATOR)
(703) 878-0740
Entity
Organization
Contact information
Practice address
2296 OPITZ BLVD STE 440, WOODBRIDGE, VA 22191-3355
(703) 878-0740
Mailing address
2296 OPITZ BLVD STE 440, WOODBRIDGE, VA 22191-3355
(703) 878-0740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101038636
VA
174400000X
Specialist
0101040926
VA
174400000X
Specialist
0101050991
VA
174400000X
Specialist
Primary
0101234869
VA
174400000X
Specialist
0101236359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056482
ANTHEM
—
01
—
5722
CARE FIRST
—
Enumeration date
09/26/2006
Last updated
02/14/2022
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