Individual
DR. PAULINO D SAMBAT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 FALCON DR, FREDERICKSBURG, VA 22408-1931
(540) 898-8400
(540) 898-6642
Mailing address
106 FALCON DR, FREDERICKSBURG, VA 22408-1931
(540) 898-8400
(540) 898-6642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101021882
VA
208D00000X
General Practice Physician
Primary
0101021882
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010201
BS
—
01
—
0478594
HMO
—
01
—
1034031
FIRST HEALTH
—
01
—
10785
SENTARA
—
01
—
17 00515
UNITED HEALTHCARE
—
01
—
213149
MDIPA
—
01
—
2551020
CIGNA
—
01
—
4385900
AETNA
—
01
—
540992335
TRICARE
—
01
—
540992335-01
SOUTHERN HEALTH
—
05
—
7341440
—
VA
Enumeration date
09/23/2005
Last updated
10/29/2012
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