Individual
MARY L FALTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7603 FOREST AVE, SUITE 401, RICHMOND, VA 23229-4942
(804) 285-1611
(804) 285-1615
Mailing address
7603 FOREST AVE, SUITE 401, RICHMOND, VA 23229-4942
(804) 285-1611
(804) 285-1615
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
0101044750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006072461
—
VA
Enumeration date
06/04/2006
Last updated
10/22/2013
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