Individual
DR. MARIA PETTIT CANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1860 TOWN CENTER DRIVE, SUITE 225, RESTON, VA 20190-5905
(703) 293-5239
(571) 526-4393
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101239731
VA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
0101239731
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497749907
—
VA
05
—
30015964400001
—
VA
Enumeration date
09/12/2005
Last updated
02/20/2024
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