Healthcare Provider Details

I. General information

NPI: 1962936427
Provider Name (Legal Business Name): ERIN NICOLE LEVIN HABER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 N GEORGE MASON DR STE 190
ARLINGTON VA
22205-3633
US

IV. Provider business mailing address

1635 N GEORGE MASON DR STE 190
ARLINGTON VA
22205-3633
US

V. Phone/Fax

Practice location:
  • Phone: 703-521-6662
  • Fax:
Mailing address:
  • Phone: 703-521-6662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101267302
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101267302
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: