Individual
MAUREEN S O'DONNELL DEBRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3620 JOSEPH SIEWICK DR., SUITE 406, FAIRFAX, VA 22033
(703) 359-8640
(703) 591-6105
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101059017
VA
208600000X
Surgery Physician
D82233
MD
208600000X
Surgery Physician
Primary
MD041998
DC
Other
Enumeration date
07/15/2009
Last updated
06/09/2018
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