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Individual

CHARLES MATTHEW GIBELLATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8200 MEADOWBRIDGE RD, SUITE 200, MECHANICSVILLE, VA 23116-2331
(804) 730-2121
Mailing address
1115 BOULDERS PKWY 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101237142
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010133360
VA
Enumeration date
05/24/2006
Last updated
10/20/2020
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