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Organization
MATERNAL FETAL MEDICINE OF CENTRAL VIRGINIA LLC
Active
Organization
MATERNAL FETAL MEDICINE OF CENTRAL VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT K LIVELY (EXECUTIVE DIRECTOR)
(540) 741-1411
Entity
Organization
Contact information
Practice address
1101 SAM PERRY BLVD, SUITE 319, FREDERICKSBURG, VA 22401-4467
(540) 741-3260
(540) 741-3261
Mailing address
1101 SAM PERRY BLVD, SUITE 319, FREDERICKSBURG, VA 22401-4467
(540) 741-3260
(540) 741-3261
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
0101237016
VA
Other
Enumeration date
06/21/2007
Last updated
05/13/2008
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