Organization
PETER ROSANELLI JR LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH WILLIAMS BISSET (OFFICE MANAGER)
(804) 285-7369
Entity
Organization
Contact information
Practice address
5855 BRENO RD, SUITE 305, RICHMOND, VA 23226
(804) 285-7369
(804) 285-7360
Mailing address
5855 BRENO RD, SUITE 305, RICHMOND, VA 23226
(804) 285-7369
(804) 285-7360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101017479
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076457
ANTHEM
VA
01
—
548761
AETNA
VA
Enumeration date
09/26/2006
Last updated
08/22/2020
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