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NPI Code Detail

MEDICARE: ELLEN FOX MD

MEDICARE:   ELLEN  FOX  MD
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
1207R00000XInternal Medicine Physician0101222128VA
2207RG0300XGeriatric Medicine (Internal Medicine) Physician0101222128VA
3174V00000XClinical Ethicist

General Provider Information

NPI Number : 1750594503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN FOX MD
Provider Business Mailing Address
First Line : 1929 N WESTMORELAND ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22213-1013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1929 N WESTMORELAND ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22213-1013
Country : US
Telephone Number : 202-779-9707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 02/18/2015

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Directions to “ ELLEN FOX MD” Practice Location

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