Organization
GLENNA R ANDERSEN MD DARYA B MAANAVI MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA R ANDERSEN MD (PHYSICIAN PRESIDENT)
(703) 560-1611
Entity
Organization
Contact information
Practice address
8501 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031
(703) 560-1611
(703) 573-0217
Mailing address
6035 BURKE CENTRE PKWY, SUITE 390, BURKE, VA 22015-3750
(703) 978-1196
(703) 978-7762
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
01/31/2008
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