MEDICARE: SARA H HOLMBERG

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	207V00000X	Obstetrics & Gynecology Physician	0101254186	VA

General Provider Information

NPI Number	:	1922242460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA H HOLMBERG

Provider Business Mailing Address
First Line	:	1005 N GLEBE RD
Second Line	:	STE 430
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5931
Country	:	US
Telephone Number	:	703-971-7633
Fax Number	:	703-971-0997

Provider Business Practice Location Address
First Line	:	1005 N GLEBE RD
Second Line	:	STE 430
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5931
Country	:	US
Telephone Number	:	703-971-7633
Fax Number	:	703-971-0997

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

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	06/30/2022

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Directions to “ SARA H HOLMBERG ” Practice Location

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