Provider Demographics
NPI:1285063461
Name:MATERNAL FETAL SPECIALISTS PC
Entity type:Organization
Organization Name:MATERNAL FETAL SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PUSHPHINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-373-7667
Mailing Address - Street 1:412 CAMBRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-1455
Mailing Address - Country:US
Mailing Address - Phone:540-373-7667
Mailing Address - Fax:540-373-7676
Practice Address - Street 1:412 CAMBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-1455
Practice Address - Country:US
Practice Address - Phone:540-373-7667
Practice Address - Fax:540-373-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251867207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty