Healthcare Provider Details

I. General information

NPI: 1982774741
Provider Name (Legal Business Name): ERIN FORAN WOLFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. ERIN JOAN FORAN

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 DOUGLASS DR
MC LEAN VA
22101-1572
US

IV. Provider business mailing address

931 DOUGLASS DR
MC LEAN VA
22101-1572
US

V. Phone/Fax

Practice location:
  • Phone: 202-421-0120
  • Fax: 855-492-1610
Mailing address:
  • Phone: 202-421-0120
  • Fax: 855-492-1610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number0101264631
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: