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Individual

DR. NICHOLAS A EMILIANI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3236 BOULEVARD, SUITE B, COLONIAL HEIGHTS, VA 23834-1456
(804) 520-7500
(804) 520-5650
Mailing address
3236 BOULEVARD, SUITE B, COLONIAL HEIGHTS, VA 23834-1456
(804) 520-7500
(804) 520-5650

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101028833
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005565
ANTHEM
VA
Enumeration date
05/18/2006
Last updated
07/08/2007
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