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Organization

FRG VIRGINIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY PISULA (COO)
(412) 551-0011
Entity
Organization

Contact information

Practice address
18688 JEB STUART HWY, STUART, VA 24171-1559
(276) 694-3151
Mailing address
PO BOX 60, PITTSBURGH, PA 15230-0060
(412) 937-5726
(412) 937-5706

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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