The Physician and Midwife Collaborative Practice
NPI #1386829794 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1386829794
- Entity Type
- Organization
- Organization Name
- The Physician and Midwife Collaborative Practice
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jan 3, 2008
- Last Updated
- Jan 3, 2008
Practice Location
- Address
- 12508 LAKE RIDGE DR
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-2354
- Phone
- (703) 491-1122
Authorized Official
- Name
- DR. DAVID GIAMMITTORIO, M.D.
- Title
- CEO
- Phone
- (703) 370-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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