Individual
JUAN PITTALUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
817 CEDAR CREEK GRADE, SUITE 100, WINCHESTER, VA 22601-2706
(540) 662-8224
(540) 662-8230
Mailing address
817 CEDAR CREEK GRADE, SUITE 100, WINCHESTER, VA 22601-2706
(540) 662-8224
(540) 662-8230
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101050179
VA
207RC0000X
Cardiovascular Disease Physician
ME50173
FL
207UN0901X
Nuclear Cardiology Physician
0101050179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085995000
—
WV
01
—
1841279916
ANTHEM BCBS
VA
05
—
1841279916
—
VA
01
—
P00777839
MEDICARE RR
VA
Enumeration date
01/17/2006
Last updated
08/22/2011
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