MEDICARE: DR. CHRISTINA ISABEL BASELGA MD

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
1	207R00000X	Internal Medicine Physician	0101055181	VA

General Provider Information

NPI Number	:	1477669414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA ISABEL BASELGA MD

Provider Business Mailing Address
First Line	:	1005 N GLEBE RD STE 710
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5766
Country	:	US
Telephone Number	:	571-302-3903
Fax Number	:	571-302-3904

Provider Business Practice Location Address
First Line	:	1005 N GLEBE RD STE 710
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5766
Country	:	US
Telephone Number	:	571-302-3903
Fax Number	:	571-302-3904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	11/27/2023

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