Organization
FELTON P ANDERSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE L VAN LUVEN (MANAGER)
(540) 389-3620
Entity
Organization
Contact information
Practice address
106 IRVING ST NW, WASHINGTON, DC 20010-2927
(540) 389-3620
(540) 389-3621
Mailing address
106 IRVING ST NW, WASHINGTON, DC 20010-2927
(540) 389-3620
(540) 389-3621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20985
DC
174400000X
Specialist
Primary
D0041182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5199
RR MCRE
DC
01
—
G763
BLUE SHIELD
—
Enumeration date
06/13/2011
Last updated
12/05/2011
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