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Organization

HAMPTON ROADS SURGICAL ASSOCIATES PC

Active
Other names
Giacomo A Ricciarelli MD
Organization subpart
No

Provider details

NPI number
Authorized official
GIACOMO A RICCIARELLI MD (PRESIDENT)
(757) 827-5700
Entity
Organization

Contact information

Practice address
3000 COLISEUM DRIVE, SUITE 203, HAMPTON, VA 23666
(757) 827-5700
(757) 827-8349
Mailing address
3000 COLISEUM DRIVE, SUITE 203, HAMPTON, VA 23666
(757) 827-5700
(757) 827-8349

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
440432
ANTHEM
VA
01
52244
SENTARA HEALTH CARE
VA
05
7305737
VA
Enumeration date
10/05/2006
Last updated
08/22/2020
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