# THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083899488
- **Authorized official:** DR. DAVID GIAMMITTORIO M.D. (CEO)
- **Authorized official phone:** (703) 370-4300

## Contact information

- **Practice address:** 2616 SHERWOOD HALL LN, SUITE 208, ALEXANDRIA, VA 22306-3100
- **Practice address phone:** (703) 780-6900
- **Mailing address:** 4660 KENMORE AVE, SUITE 902, ALEXANDRIA, VA 22304-1313
- **Mailing address phone:** (703) 370-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | VA | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G00252 | MEDICARE | VA |