Provider Demographics
NPI:1306862685
Name:DAUGELA, MARY Z (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:Z
Last Name:DAUGELA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9501 FARRELL RD
Mailing Address - Street 2:DEWITT ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5901
Mailing Address - Country:US
Mailing Address - Phone:703-805-0342
Mailing Address - Fax:703-805-0731
Practice Address - Street 1:9501 FARRELL RD
Practice Address - Street 2:DEWITT ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:703-805-0342
Practice Address - Fax:703-805-0731
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA01010207672080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine