Healthcare Provider Details

I. General information

NPI: 1083692057
Provider Name (Legal Business Name): MARIANNA W. HORN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 2ND ST NE
WASHINGTON DC
20002-8100
US

IV. Provider business mailing address

6565 ARLINGTON BLVD. STE. 200
FALLS CHURCH VA
22042
US

V. Phone/Fax

Practice location:
  • Phone: 202-346-3000
  • Fax:
Mailing address:
  • Phone: 703-531-3627
  • Fax: 703-531-1591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number0101054079
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: