Individual provider · Type 1 NPI

Alicia Derusso St. Thomas, MD

Obstetrics & Gynecology Physician · Fairfax, VA

NPI number 1982220190 Active

Practice location

10521 Rosehaven St Ste LL100
Fairfax, VA 22030-2877

Call (703) 281-5000 Map

Fax (703) 255-0765

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Obstetrics & Gynecology Physician Primary 207V00000X0101281670 (VA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6 other providers at this address

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About NPI 1982220190

Alicia Derusso St. Thomas, MD's National Provider Identifier is 1982220190, issued on Jun 23, 2020. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Fairfax, VA. The record was last updated on May 30, 2024.