Basic Information
Provider Information
NPI: 1619038809
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWLING
FirstName: VICTORIA
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HARGEST
OtherFirstName: VICTORIA
OtherMiddleName: A
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 2101 E JEFFERSON ST
Address2: KAISER PERMANENTE MEDICARE ENROLLMENT
City: ROCKVILLE
State: MD
PostalCode: 208524908
CountryCode: US
TelephoneNumber: 3018162424
FaxNumber: 3018166308
Practice Location
Address1: 1447 YORK ROAD
Address2:  
City: LUTHERVILLE
State: MD
PostalCode: 210936017
CountryCode: US
TelephoneNumber: 4103395615
FaxNumber: 4103395401
Other Information
ProviderEnumerationDate: 12/12/2006
LastUpdateDate: 02/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD0052011MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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