Individual
DR. RAYMOND PAUL MAROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 SACHEM PL, UNIT 201, CHARLOTTESVILLE, VA 22901-2554
(434) 973-9744
(434) 973-9790
Mailing address
1450 SACHEM PL, UNIT 201, CHARLOTTESVILLE, VA 22901-2554
(434) 973-9744
(434) 973-9790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012125-5
ANTHEM BLUE CROSS BLUE SH
VA
01
—
142738
SOUTHERN HEALTH/COVENTRY
VA
01
—
45140
OPTIMA HEALTH
VA
01
—
7731310002
CIGNA HEALTHCARE
VA
Enumeration date
06/15/2005
Last updated
07/08/2007
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