Individual
DR. ROBERT WILLIAM DECONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7229 FOREST AVE, SUITE 101, RICHMOND, VA 23226-3765
(804) 673-8000
(804) 673-4067
Mailing address
7229 FOREST AVE, SUITE 101, RICHMOND, VA 23226-3765
(804) 673-8000
(804) 673-4067
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0101051435
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101051435
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326248584
NPI INDIVIDUAL
VA
05
—
6900275
—
VA
01
—
VAA102128
PTAN GROUP
VA
01
—
VAA102129
PTAN INDIVIDUAL
VA
Enumeration date
06/16/2006
Last updated
10/14/2013
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