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NPI Code Detail

MEDICARE: CECILY DVORAK HAVERT M.D.

MEDICARE: CECILY DVORAK HAVERT 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 Physician01011235692VA
2207Q00000XFamily Medicine Physician0101235692VA

General Provider Information

NPI Number : 1700998309
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILY DVORAK HAVERT M.D.
Provider Business Mailing Address
First Line : 2445 ARMY NAVY DR STE 400
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-2988
Country : US
Telephone Number : 703-379-8879
Fax Number : 703-379-8879
Provider Business Practice Location Address
First Line : 2445 ARMY NAVY DR STE 400
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-2988
Country : US
Telephone Number : 703-525-8863
Fax Number : 703-525-2387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/06/2025

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Directions to “ CECILY DVORAK HAVERT M.D.” Practice Location

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