Organization
AIDS/HIV SERVICES GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MARTINO PHD (EXECUTIVE DIRECTOR)
(434) 979-7714
Entity
Organization
Contact information
Practice address
315 10TH ST NE, CHARLOTTESVILLE, VA 22902-5316
(434) 979-7714
(434) 984-0249
Mailing address
315 10TH ST NE, CHARLOTTESVILLE, VA 22902-5316
(434) 979-7714
(434) 984-0249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052403287
—
VA
05
—
1215298724
—
VA
05
—
1710208608
—
VA
Enumeration date
05/31/2012
Last updated
12/26/2013
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