Coram Healthcare Corporation of Greater D.c.

NPI #1063681807 in Chantilly, Virginia

Provider Information

NPI Number: 1063681807
Entity Type: Organization
Organization Name: Coram Healthcare Corporation of Greater D.c.
Subpart: Yes (part of a larger organization)
Parent Organization: CORAM HEALTHCARE CORPORATION OF GREATER D.C.
Primary Specialty: Clinic/Center - Infusion Therapy
Enumeration Date: Feb 26, 2008
Last Updated: Mar 7, 2023

Practice Location

Address: 4115 PLEASANT VALLEY RD STE 600
City: Chantilly
State: Virginia
ZIP Code: 20151-1223
Phone: (703) 631-1611

Authorized Official

Name: VITO PONZIO JR.
Title: SR VP AND DIRECTOR
Phone: (303) 672-8631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Infusion Therapy — Infusion Therapy	261QI0500X	Primary

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