Organization
CHARLOTTESVILLE RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE JARGOWSKI (OFFICE MANAGER)
(434) 244-4580
Entity
Organization
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7000
Mailing address
PO BOX 197, STATE COLLEGE, PA 16804-0197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB4302
RRMED
VA
Enumeration date
03/29/2007
Last updated
11/11/2020
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