Provider Demographics
NPI:1528320645
Name:ISFORT, ANNA HELENA (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:HELENA
Last Name:ISFORT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:WRNMMC DEPARTMENT OF PEDIATRICS
Mailing Address - Street 2:8901 WISCONSIN AVE
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-4900
Mailing Address - Fax:301-295-6173
Practice Address - Street 1:WRNMMC DEPARTMENT OF PEDIATRICS
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4900
Practice Address - Fax:301-295-6173
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2024-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101254702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics