Provider Demographics
NPI:1699080754
Name:FERN L. GRAPIN, M.D.,P.C.
Entity type:Organization
Organization Name:FERN L. GRAPIN, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:FERN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRAPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-751-3031
Mailing Address - Street 1:2871 DUKE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4512
Mailing Address - Country:US
Mailing Address - Phone:703-751-3031
Mailing Address - Fax:703-370-9016
Practice Address - Street 1:2871 DUKE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4512
Practice Address - Country:US
Practice Address - Phone:703-751-3031
Practice Address - Fax:703-370-9016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101039094207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty