Organization
VALLEY CARDIOVASCULAR CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN M PITTALUGA M.D. (OWNER)
(540) 662-8224
Entity
Organization
Contact information
Practice address
817 CEDAR CREEK GRADE, SUITE 100, WINCHESTER, VA 22601-2706
(540) 662-8224
(540) 662-8230
Mailing address
817 CEDAR CREEK GRADE, SUITE 100, WINCHESTER, VA 22601-2706
(540) 662-8224
(540) 662-8230
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101050179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578700423
—
VA
05
—
3810014166
—
WV
01
—
613950700
DOL
VA
01
—
DP6610
MEDICARE RR
VA
Enumeration date
01/14/2009
Last updated
08/22/2011
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