Individual
ALLYSE L WELTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2296 OPITZ BLVD, #440, WOODBRIDGE, VA 22191
(703) 878-0740
(703) 878-3933
Mailing address
2296 OPITZ BLVD, #440, WOODBRIDGE, VA 22191
(703) 878-0740
(703) 878-3933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101234869
VA
207VG0400X
Gynecology Physician
Primary
0101234869
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010009081
—
VA
Enumeration date
11/22/2005
Last updated
02/14/2022
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