Individual
DR. STEPHANIE A GIAMMITTORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
120 KINGS WAY STE 2800, WILLIAMSBURG, VA 23185
(757) 645-3775
(757) 206-1291
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0102205840
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
OS017733
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021855000
—
FL
Enumeration date
06/11/2010
Last updated
07/21/2022
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