Individual
DR. LINDA ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14139 POTOMAC MILLS ROAD, WOODBRIGE, VA 22192-4044
(703) 490-8400
(703) 490-7635
Mailing address
KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101048916
VA
Other
Enumeration date
12/04/2006
Last updated
12/07/2011
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