Provider Demographics
NPI:1215160981
Name:KESSLER, ELLEN ROSEMARY (MD)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:ROSEMARY
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10701 PARKRIDGE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-4357
Mailing Address - Country:US
Mailing Address - Phone:703-760-0700
Mailing Address - Fax:703-288-5463
Practice Address - Street 1:10701 PARKRIDGE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-4357
Practice Address - Country:US
Practice Address - Phone:703-760-0700
Practice Address - Fax:703-288-5463
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101041111207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine