Individual
NICOLAS M. INTAGLIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 243-3090
(434) 244-9445
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101251316
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116019525
VA
Other
Enumeration date
06/08/2007
Last updated
10/22/2020
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