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MICHAEL FIORE AMENDOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 E MARSHALL ST, SURGERY, RICHMOND, VA 23298-5051
(804) 828-3211
(804) 828-2744
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101241789
VA
2086S0129X
Vascular Surgery Physician
062462
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005903513A
GA
05
005903513B
GA
05
005903513C
GA
05
005903513D
GA
05
005903513E
GA
05
005903513F
GA
05
005903513G
GA
05
005903513H
GA
Enumeration date
05/22/2007
Last updated
08/02/2011
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