Organization
VANESSA A CAMPERLENGO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ANDREA CAMPERLENGO MD (PRESIDENT)
(434) 975-4440
Entity
Organization
Contact information
Practice address
675 PETER JEFFERSON PARKWAY, SUITE 335, CHARLOTTESVILLE, VA 22911-8618
(434) 975-4440
(434) 975-5551
Mailing address
675 PETER JEFFERSON PARKWAY, SUITE 335, CHARLOTTESVILLE, VA 22911-8618
(434) 975-4440
(434) 975-5551
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101044562
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007103794
—
VA
01
—
051840
ANTHEM BLUE CROSS BLUE SH
—
Enumeration date
11/03/2006
Last updated
02/12/2009
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