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Individual

DR. ASTRID R VON WALTER

Active
Sole proprietor
Yes

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) 737-6010

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101277563
VA
207V00000X
Obstetrics & Gynecology Physician
112314
CA
207VG0400X
Gynecology Physician
MD040397
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194977470
VA
05
30016765820002
VA
Enumeration date
10/16/2008
Last updated
11/25/2025
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