Individual
BEVERLY A WHITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8501 ARLINGTON BLVD STE 410, FAIRFAX, VA 22031
(703) 738-4331
(703) 642-1876
Mailing address
11350 MCCORMICK ROAD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101239973
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
0101239973
VA
Other
Enumeration date
06/10/2006
Last updated
07/26/2021
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