Provider Demographics
NPI:1144371824
Name:HOLDEN, CANDICE P (MD)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:P
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:
Other - Last Name:PFEIFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21475 RIDGETOP CIR STE 150
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6580
Mailing Address - Country:US
Mailing Address - Phone:703-444-5000
Mailing Address - Fax:703-444-4999
Practice Address - Street 1:25055 RIDING PLZ STE 260
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-5922
Practice Address - Country:US
Practice Address - Phone:703-272-5000
Practice Address - Fax:703-957-3804
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10007584207X00000X
NJMA07484000207X00000X, 207XP3100X
PAMD419362207XP3100X
VA0101258624207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019082180006Medicaid
NJ001908218(PA)Medicaid
DE1000015353Medicaid
NJ8905207Medicaid
MD406194200Medicaid
PA0019082180006Medicaid
MD406194200Medicaid