Ruth Avigan Mann
Adolescent Medicine
11130 Sunrise Valley Dr Suite #150
Reston
, Virginia 20191-4398
Ruth Avigan Mann
Adolescent Medicine
11130 Sunrise Valley Dr Suite #150
Reston
, Virginia 20191-4398
(703) 262-0333
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Ruth Avigan Mann
- 11130 Sunrise Valley Dr Suite #150
- Reston, VA
- Zip : 20191-4398
- Fax : (703) 262-0333
- Phone : (703) 262-0100
Second Address
- Ruth Avigan Mann
- 11130 Sunrise Valley Dr Suite #150
- Reston, VA
- Zip : 20191-4398
- Fax : (703) 262-0333
- Phone : (703) 262-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 0101037069 | VA |
National Provider Identifier
| NPI | 1073674594 |
|---|---|
| Provider Name | Ruth Avigan Mann |
| First Address | Reston, VA 20191-4398 |
| Second Address | Reston, VA 20191-4398 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.