MEDICARE: DR. PHUONG-THU THI VO M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D0060675	MD
2	2084P0800X	Psychiatry Physician	0101227461	VA

General Provider Information

NPI Number	:	1144311762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHUONG-THU THI VO M.D

Provider Business Mailing Address
First Line	:	6262 WILLOWFIELD WAY
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-1036
Country	:	US
Telephone Number	:	703-313-0660
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 WASHINGTON BLVD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-5718
Country	:	US
Telephone Number	:	703-228-5150
Fax Number	:	703-228-1117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/01/2020

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