Individual
MR. CLAUDIO OITICICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 828-3500
(804) 828-8606
Mailing address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 828-3500
(804) 828-8606
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
0101233935
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010037506
—
VA
Enumeration date
11/02/2005
Last updated
08/29/2007
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