Organization
MATERNAL FETAL ASSOCIATES OF THE MID-ATLANTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE VALENTINE (PRACTICE MANAGER)
(703) 435-8049
Entity
Organization
Contact information
Practice address
1850 TOWN CENTER PKWY STE 258, RESTON, VA 20190-3300
(703) 435-1454
(703) 435-8630
Mailing address
1850 TOWN CENTER PKWY STE 258, RESTON, VA 20190-3300
(703) 435-1454
(703) 435-8630
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110008400
—
MD
Enumeration date
07/24/2006
Last updated
08/23/2024
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