Organization
FAMILY PHYSICIANS OF CHESTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA L PIZZULLO (PRACTICE MANAGER)
(804) 748-9071
Entity
Organization
Contact information
Practice address
12801 IRON BRIDGE RD, SUITE 200, CHESTER, VA 23831-1669
(804) 748-9071
(804) 768-8626
Mailing address
12801 IRON BRIDGE RD, SUITE 200, CHESTER, VA 23831-1669
(804) 748-9071
(804) 768-8626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003746
ANTHEM
VA
Enumeration date
04/25/2007
Last updated
01/17/2014
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