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Individual

JUDITH A. PERROTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1330 OAK LN, LYNCHBURG, VA 24503-2513
(434) 200-4072
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
(434) 200-3656
(434) 200-3650

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101055222
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265572945
VA
Enumeration date
02/08/2007
Last updated
02/05/2009
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