NPI 1053484725
Costanza Dieceka Rutland, MD
Practice location
- Address
- 3998 Fair Ridge Drive Suite 270, Fairfax, VA 22030
- Phone
- (703) 218-5357
- Fax
- (703) 218-5358
- Mailing address
- 3998 Fair Ridge Dr STE 270, Fairfax, VA 22033-2907
Registered specialties (2)
Obstetrics & Gynecology Physician
Primary
Obstetrics & Gynecology Physician
Registry record
- NPI
- 1053484725
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Nov 2006
- Record last updated
- 27 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.