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Individual

BETHANY C EPSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8316 TRAFORD LN, SPRINGFIELD, VA 22152
(703) 569-8400
(703) 569-1182
Mailing address
8316 TRAFORD LN, SPRINGFIELD, VA 22152
(703) 569-8400
(703) 569-1182

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101232391
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101232391
MEDICAL LICENSE
01
11486962
CAQH
01
7221582
AETNA POS PPO
01
8143230
MAMSI OPTIMUM CHOICE MD I
01
90012
AETNA HMO
01
B9390013
CARE FIRST BCBS
Enumeration date
10/26/2006
Last updated
09/22/2021
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