Individual
DR. ANITA G. RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
381 ELDEN ST STE 1000, HERNDON, VA 20170-4842
(703) 481-1505
(703) 742-8793
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101051735
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05628652
—
VA
01
—
080183784
RR MEDICARE
VA
Enumeration date
09/01/2005
Last updated
05/30/2023
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