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Organization
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Active
Organization
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GIAMMITTORIO M.D. (CEO)
(703) 370-4300
Entity
Organization
Contact information
Practice address
5901 KINGSTOWNE VILLAGE PKWY, ALEXANDRIA, VA 22315-5880
(703) 922-3434
(703) 922-6588
Mailing address
4660 KENMORE AVE, SUITE 902, ALEXANDRIA, VA 22304-1313
(703) 370-4300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101026374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G00252
MEDICARE
VA
Enumeration date
01/11/2008
Last updated
01/11/2008
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