Basic Information
| Provider Information | |||||||||
| NPI: | 1922282771 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINCLAIR | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4379 RIDGEWOOD CENTER DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | WOODBRIDGE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221928322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7036807950 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9444 TANEY RD | ||||||||
| Address2: | |||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201105933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5717224590 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2007 | ||||||||
| LastUpdateDate: | 12/27/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | VA0101236634 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.