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Individual

BRIAN PATRICK DORAZIO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
421 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 373-3031
(540) 373-9174
Mailing address
421 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 373-3031
(540) 373-9174

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001831
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043092
ANTHEM BCBS
VA
01
24448
MAMSI
Enumeration date
11/18/2005
Last updated
07/08/2007
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