Individual
GREGORY J WARTH
Active
Individual
GREGORY J WARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005801249
—
VA
01
—
27072
SENTARA
VA
01
—
282135
MDIPA
VA
01
—
437515
ANTHEM
VA
01
—
541595397
AETNA
VA
Enumeration date
07/11/2006
Last updated
04/21/2009
Update your record
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