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Individual

MICHAEL B MCCABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908
(434) 297-5055
(434) 244-9489
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101259789
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538425087
VA
Enumeration date
04/10/2012
Last updated
07/02/2018
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