Individual
MRS. ELIZABETH H WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 MAPLE AVENUE WEST, STE. 5, VIENNA, VA 22180
(703) 938-2244
(703) 938-3669
Mailing address
410 MAPLE AVENUE WEST, STE. 5, VIENNA, VA 22180
(703) 938-2244
(703) 938-3669
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101042673
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006723365
—
VA
Enumeration date
12/14/2005
Last updated
01/26/2012
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