Healthcare Provider Details

I. General information

NPI: 1982688834
Provider Name (Legal Business Name): MARGARET ANN YACOVONE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 02/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 ARLINGTON BLVD SUITE 5101
FALLS CHURCH VA
22042-5101
US

IV. Provider business mailing address

712 BROMLEY STREET
SILVER SPRING MD
20902
US

V. Phone/Fax

Practice location:
  • Phone: 703-681-5554
  • Fax:
Mailing address:
  • Phone: 301-922-7230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD-10064
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: