Organization
GENERAL VASCULAR AND TRANSPLANT CONSULTANTS OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO MENDEZ-PICON M.D. (PRESIDENT)
(804) 968-4435
Entity
Organization
Contact information
Practice address
7611 FOREST AVE, SUITE 300, HENRICO, VA 23229-4946
(804) 968-4435
(804) 968-4463
Mailing address
7611 FOREST AVE, SUITE 300, HENRICO, VA 23229-4946
(804) 968-4435
(804) 968-4463
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAA104103
GROUP PTAN
VA
Enumeration date
11/01/2010
Last updated
02/07/2011
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