Individual
MICAELA IANTORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NIH CRITICAL CARE MEDICINE 10 CENTER DR, ROOM 2C145, BETHESDA, MD 20892-0001
(301) 496-4336
(301) 402-1213
Mailing address
PO BOX 3339, FREDERICKSBURG, VA 22402-3339
(855) 739-9953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101267135
VA
207R00000X
Internal Medicine Physician
Primary
D0074441
MD
207RC0000X
Cardiovascular Disease Physician
0101267135
VA
207RI0011X
Interventional Cardiology Physician
0101267135
VA
390200000X
Student in an Organized Health Care Education/Training Program
D0074441
MD
Other
Enumeration date
05/21/2009
Last updated
09/30/2024
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