Individual
DR. AMANDA MARIE CHICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O, M.A
Contact information
Practice address
1625 N GEORGE MASON DR STE 345, ARLINGTON, VA 22205-3690
(703) 717-4400
(703) 717-4401
Mailing address
1625 N GEORGE MASON DR STE 345, ARLINGTON, VA 22205-3690
(703) 717-4400
(703) 717-4401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1336
NE
208M00000X
Hospitalist Physician
Primary
0102205886
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2013
Last updated
03/28/2022
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