Provider Demographics
NPI:1992150239
Name:VOLFTSUN, MARGARITA (HHC)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:VOLFTSUN
Suffix:
Gender:F
Credentials:HHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10705
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-8705
Mailing Address - Country:US
Mailing Address - Phone:703-623-6275
Mailing Address - Fax:
Practice Address - Street 1:8311 WOODLEA MILL RD
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-2322
Practice Address - Country:US
Practice Address - Phone:703-623-6275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-24
Last Update Date:2016-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS5505970-6390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program