Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0101237537 | VA |
N | 2080N0001X | Neonatal-Perinatal Doctor | MD034649 | DC |
NPI | 1023065935 |
---|---|
Provider Name | Dr. Fegegta A Workie |
First Address | Fairfax, VA 22031 |
Second Address | Falls Church, VA 22042-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 08/07/2007 |