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Individual

DR. HUMBERTO MARCELO ANDREOLI

Active
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Individual

DR. HUMBERTO MARCELO ANDREOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101055708
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010108624
—
VA
01
—
144125
ANTHEM PROVIDER ID
VA
01
—
2359444
CIGNA PROVIDER ID
VA
01
—
2390361
MAMSI PROVIDER ID
VA
01
—
243793
KAISER PROVIDER ID
VA
01
—
281585
AMERIGROUP PROVIDER ID
VA
01
—
3829934
AETNA HMO
VA
01
—
5855677
AETNA
VA
01
—
80705
GREAT WEST PROVIDER ID
VA
01
—
K180
CAREFIRST PROVIDER ID
VA
Enumeration date
09/25/2006
Last updated
02/18/2015
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