Individual
MADISON AVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2745
Mailing address
925 N GARFIELD ST APT 433, ARLINGTON, VA 22201-6708
(336) 314-8173
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0116039165
VA
Other
Enumeration date
06/19/2024
Last updated
05/21/2025
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