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NPI Code Detail

MEDICARE: DR. ELIZABETH R. BIGELOW M.D.

MEDICARE:  DR. ELIZABETH R. BIGELOW  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0116018753VA
2207Q00000XFamily Medicine Physician0101244992VA

General Provider Information

NPI Number : 1093971053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH R. BIGELOW M.D.
Provider Business Mailing Address
First Line : 3400 HAYDENPARK LN STE 300
Second Line :
City : HENRICO
State : VA
Zip : 23233-7867
Country : US
Telephone Number : 804-998-1600
Fax Number : 804-282-0676
Provider Business Practice Location Address
First Line : 3400 HAYDENPARK LN STE 300
Second Line :
City : HENRICO
State : VA
Zip : 23233-7867
Country : US
Telephone Number : 804-998-1600
Fax Number : 804-282-0676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2008
Last Update Date : 02/25/2021

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Directions to “ DR. ELIZABETH R. BIGELOW M.D.” Practice Location

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