Organization
BLUE RIDGE PEDIATRICS ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C SCHIAVONE JR. MD (PRESIDENT BLUE RIDGE PEDIATRIC ASSO)
(540) 667-5400
Entity
Organization
Contact information
Practice address
337 WESTSIDE STATION DRIVE, WINCHESTER, VA 22601
(540) 667-5400
(540) 722-9516
Mailing address
337 WESTSIDE STATION DRIVE, WINCHESTER, VA 22601
(540) 667-5400
(540) 722-9516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101029741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006779352
—
VA
01
—
010776
ANTHEM
VA
05
—
0112931000
—
WV
01
—
10711397
CIGNA
—
01
—
42687
COMMUNITY HEALTH
VA
Enumeration date
08/31/2006
Last updated
03/12/2009
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