Individual
DR. NICHOLAS W GEMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-6906
(540) 662-1108
Mailing address
400 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-6906
(540) 662-1108
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101041458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073744000
WV MEDICAID
WV
01
—
094212
BLUE CROSS BLUE SHIELD
VA
01
—
45-4759270
TAX ID
VA
05
—
7241071
—
VA
Enumeration date
06/15/2006
Last updated
02/28/2018
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