# AMMICUS HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1881145985
- **Authorized official:** DR. JORGE I RAMALLO MD (PRESIDENT)
- **Authorized official phone:** (703) 881-6584

## Contact information

- **Practice address:** 6045 ARLINGTON BLVD, FALLS CHURCH, VA 22044-2721
- **Practice address phone:** (703) 881-6584
- **Mailing address:** 5893 2ND ST S, ARLINGTON, VA 22204-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101259926 | VA | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 10/24/2016