Individual
ELIZABETH PALUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10527 BRADDOCK RD, FAIRFAX, VA 22032-2247
(703) 425-3300
(703) 323-3950
Mailing address
7015C MANCHESTER BLVD, ALEXANDRIA, VA 22310-3253
(703) 971-6900
(703) 972-9167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101222797
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6714404
—
VA
05
—
6733972
—
VA
Enumeration date
05/05/2006
Last updated
01/04/2013
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