Individual
AMANDA PATERNOSTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 KENMORE AVE STE 902, ALEXANDRIA, VA 22304-1306
(703) 370-4300
(703) 370-0044
Mailing address
4660 KENMORE AVE, STE 902, ALEXANDRIA, VA 22304-1306
(215) 955-1085
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101266406
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101266406
MEDICAL LICENSE
VA
Enumeration date
04/17/2015
Last updated
07/15/2019
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