Individual
AMANDA GAYLE CECCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
855 W BRAMBLETON AVE, NORFOLK, VA 23510-1005
(757) 446-5600
Mailing address
PO BOX 1980, NORFOLK, VA 23501-1980
(757) 446-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102207599
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0102207599
VA
207RP1001X
Pulmonary Disease Physician
0102207599
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
10/24/2025
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