Organization
CHARLES CIFIZZARI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CIFIZZARI (OWNER)
(540) 445-1122
Entity
Organization
Contact information
Practice address
11711 HARVESTDALE DR, FREDERICKSBURG, VA 22407-7414
(540) 445-1122
Mailing address
11711 HARVESTDALE DR, FREDERICKSBURG, VA 22407-7414
(540) 445-1122
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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