Individual
NINA SELVAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3022 WILLIAMS DRIVE, SUITE 300, FAIRFAX, VA 22031
(703) 573-9800
(703) 573-2959
Mailing address
3022 WILLIAMS DRIVE, SUITE 300, FAIRFAX, VA 22031
(703) 573-9800
(703) 573-2959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101043382
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
0101043382
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110153967
RR MEDICARE
—
05
—
6037909
—
VA
Enumeration date
08/28/2006
Last updated
05/05/2008
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