Individual
DR. DINA TABELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4528
(571) 472-4670
(571) 665-6798
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102205734
VA
2086S0102X
Surgical Critical Care Physician
0102205734
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2012
Last updated
12/05/2022
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