Individual
DR. MARIE A. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4001 FAIR RIDGE DR STE 304, FAIRFAX, VA 22033-2917
(703) 273-9440
(703) 273-9445
Mailing address
4001 FAIR RIDGE DR STE 304, FAIRFAX, VA 22033-2917
(703) 273-9440
(703) 273-9445
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101049216
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010141249
—
VA
Enumeration date
10/02/2006
Last updated
07/21/2022
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