Dr Jennifer A B Muldoon, MD | |
11135 Lee Hwy, Fairfax, VA 22030-5004 | |
(703) 273-9440 | |
Not Available |
Full Name | Dr Jennifer A B Muldoon |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 11135 Lee Hwy, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174732143 | NPI | - | NPPES |
MD00040395 | Other | WA | WA ST LIC NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD00040395 (Washington) | Secondary |
207V00000X | Obstetrics & Gynecology | 01081144A (Indiana) | Primary |
Entity Name | Obhg Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430 |
Mailing Address | Practice Location Address |
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Dr Jennifer A B Muldoon, MD 2020 Meridian St Ste 220, Anderson, IN 46016-4338 Ph: (765) 683-3280 | Dr Jennifer A B Muldoon, MD 11135 Lee Hwy, Fairfax, VA 22030-5004 Ph: (703) 273-9440 |
Laura Marie Kiszkiel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10521 Rosehaven St Ste Ll100, Fairfax, VA 22030 Phone: 703-281-5000 Fax: 703-255-0765 | |
Ivette Anne Couret, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3025 Hamaker Ct Ste 200, Fairfax, VA 22031 Phone: 703-698-8060 Fax: 703-876-4691 | |
Shawana Mufti, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3930 Pender Dr, Suite 60, Fairfax, VA 22030 Phone: 703-539-8987 Fax: 703-865-4167 | |
Dr. Walter J Hodges Jr., MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3620 Joseph Siewick Dr, 400, Fairfax, VA 22033 Phone: 703-264-7801 Fax: 703-264-7807 | |
Eleanor H Yoon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd Ste 300, Fairfax, VA 22031 Phone: 703-560-1611 Fax: 703-573-0210 | |
Dr. Khoi T Vu, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5720 Fax: 703-934-5778 | |
Dr. Costanza Dieceka Rutland, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Drive, Suite 270, Fairfax, VA 22030 Phone: 703-218-5357 Fax: 703-218-5358 |