Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 0101040959 | VA |
NPI | 1003892324 |
---|---|
Provider Name | Dr. Mary Beth Mcateer |
First Address | Falls Church, VA 22044-2102 |
Second Address | Falls Church, VA 22044-2102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 23/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006333010 | (05) | VA |
B94917 | (02) |