Organization
ROBERT W. DECONTI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM DECONTI M.D. (PRESIDENT & CEO)
(804) 673-8000
Entity
Organization
Contact information
Practice address
7229 FOREST AVE, SUITE 101, RICHMOND, VA 23226-3765
(804) 673-8000
(804) 673-4067
Mailing address
7229 FOREST AVE, SUITE 101, RICHMOND, VA 23226-3765
(804) 673-8000
(804) 673-4067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101051435
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6900275
—
VA
Enumeration date
07/24/2007
Last updated
07/24/2007
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