Provider Demographics
NPI:1588685978
Name:SCHMIDT, MARY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ELIZABETH
Last Name:SCHMIDT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:MARY E. SCHMIDT, MD
Mailing Address - Street 2:1347 LANCIA DRIVE
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102
Mailing Address - Country:US
Mailing Address - Phone:703-402-6238
Mailing Address - Fax:703-560-8408
Practice Address - Street 1:MARY E. SCHMIDT, MD
Practice Address - Street 2:1347 LANCIA DRIVE
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22102
Practice Address - Country:US
Practice Address - Phone:703-402-6238
Practice Address - Fax:703-560-8408
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2020-09-09
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Provider Licenses
StateLicense IDTaxonomies
VA0101042633207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6091580Medicaid
VA6091580Medicaid
VAF42643Medicare UPIN