Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0102206128 | VA |
N | 2080N0001X | Neonatal-Perinatal Doctor | OS020217 | PA |
NPI | 1093160236 |
---|---|
Provider Name | Nicole Baig |
First Address | Leesburg, VA 20176-5101 |
Second Address | Leesburg, VA 20176-5101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 16/12/2020 |