Individual
TERRY A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10721 MAIN ST, # 200, FAIRFAX, VA 22030
(703) 385-6875
(703) 385-6875
Mailing address
10721 MAIN ST, # 200, FAIRFAX, VA 22030
(703) 385-6870
(703) 385-6875
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101226190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138982
ANTHEM BCBS
—
01
—
2125648
MAMSI
—
01
—
2187314
UNITED HEALTHCARE
—
01
—
3574058
HMO
—
01
—
503341
NCPPO
—
01
—
7059140
AETNA
—
01
—
8996869
CIGNA
—
01
—
J758000
CAREFIRST BCBS
—
Enumeration date
11/22/2006
Last updated
03/07/2023
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