Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0102204788 | VA |
N | 207V00000X | Obstetrician & Gynecologist | H74829 | MD |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0102204788 | VA |
NPI | 1063687655 |
---|---|
Provider Name | Dana Michelle Block-Abraham |
First Address | Baltimore, MD 21297-3174 |
Second Address | Fairfax, VA 22031-2220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 03/08/2021 |