Provider Demographics
NPI:1154431104
Name:MASEL, HOLLY LORETTA
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:LORETTA
Last Name:MASEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 325
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3683
Mailing Address - Country:US
Mailing Address - Phone:703-717-4600
Mailing Address - Fax:703-717-4601
Practice Address - Street 1:1625 N GEORGE MASON DR
Practice Address - Street 2:SUITE 325
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3683
Practice Address - Country:US
Practice Address - Phone:703-717-4600
Practice Address - Fax:703-717-4601
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240117207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology