Organization
AMMICUS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE I RAMALLO MD (PRESIDENT)
(703) 881-6584
Entity
Organization
Contact information
Practice address
6045 ARLINGTON BLVD, FALLS CHURCH, VA 22044-2721
(703) 881-6584
Mailing address
5893 2ND ST S, ARLINGTON, VA 22204-1029
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101259926
VA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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