Healthcare Provider Details
I. General information
NPI: 1487100202
Provider Name (Legal Business Name): VIRGINIA FERTILITY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2016
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9030 STONY POINT PKWY SUITE 390
RICHMOND VA
23235-1957
US
IV. Provider business mailing address
9600 BLACKWELL ROAD SUITE 500
ROCKVILLE MD
20850
US
V. Phone/Fax
- Phone: 804-500-9999
- Fax: 804-323-9979
- Phone: 301-340-1188
- Fax: 855-716-1603
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VICKI
GERBER
Title or Position: EXECUTIVE MANAGING DIRECTOR
Credential:
Phone: 301-545-1248