Individual
DR. ELLEN D ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 295-9360
(703) 295-9369
Mailing address
PO BOX 7159, FAIRFAX STATION, VA 22039-7159
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101236210
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033579
TRIGON
VA
01
—
1067774
WORKER'S COMPENSATION
WA
01
—
484645
NCPPO
VA
01
—
9385081
PHCS
VA
01
—
K142-0001
CARE FIRST 2005
VA
Enumeration date
08/02/2005
Last updated
07/09/2007
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