Organization
CHARLOTTESVILLE WOMENS SERVICES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE L BLOMMEL MD (OWNER)
(434) 244-4590
Entity
Organization
Contact information
Practice address
1490 PANTOPS MOUNTAIN PL, SUITE 105, CHARLOTTESVILLE, VA 22911-4601
(434) 244-4590
(434) 244-4592
Mailing address
1490 PANTOPS MOUNTAIN PL, SUITE 105, CHARLOTTESVILLE, VA 22911-4601
(434) 244-4590
(434) 244-4592
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8536
MEDICARE PIN
VA
Enumeration date
01/13/2006
Last updated
06/20/2008
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