Individual
ANTHONY G PATRIARCO
Active
Individual
ANTHONY G PATRIARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101044698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005862736
—
VA
01
—
148137
SOUTHERN HEALTH
VA
01
—
231695
ANTHEM
VA
01
—
44482
OPTIMA
VA
01
—
5862736
VA PREMIER
VA
01
—
700028144
CIGNA
VA
Enumeration date
02/16/2006
Last updated
12/21/2023
Update your record
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