Organization
TYSONS GYNECOLOGY AND MENOPAUSE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA S HALL M.D. (MEDICAL DIRECTOR)
(703) 226-4012
Entity
Organization
Contact information
Practice address
8320 OLD COURTHOUSE RD, 400, VIENNA, VA 22182-3831
(703) 226-4012
(703) 226-4010
Mailing address
8320 OLD COURTHOUSE RD, 400, VIENNA, VA 22182-3831
(703) 226-4012
(703) 226-4010
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101035022
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189115
ANTHEM
VA
01
—
2145117
MAMSI UHC
—
01
—
2730784
CIGNA
—
01
—
G02223M01
MEDICARE
—
01
—
N036-0001
CARE FIRST NCA
—
Enumeration date
07/05/2012
Last updated
07/05/2012
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