Organization
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GIAMMITTORIO MD (CEO)
(703) 490-9620
Entity
Organization
Contact information
Practice address
3803 FAIRFAX DR, 500, ARLINGTON, VA 22203-5860
(703) 922-3434
Mailing address
4660 KENMORE AVE, 902, ALEXANDRIA, VA 22304-1313
(703) 370-4300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101026374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G00252
MEDICARE GROUP#
VA
Enumeration date
04/30/2013
Last updated
04/30/2013
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