Individual
TIMOTHY M AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024171020
VA
363LA2200X
Adult Health Nurse Practitioner
0024171020
VA
363LG0600X
Gerontology Nurse Practitioner
0024171020
VA
Other
Enumeration date
07/23/2013
Last updated
06/18/2021
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