Individual
ANDREA G HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
(703) 504-3388
Mailing address
PO BOX 37504, BALTIMORE, MD 21297-3504
(703) 321-3700
(703) 321-3701
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
269134
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101271224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119420A
—
MA
Enumeration date
03/09/2010
Last updated
02/02/2021
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