Healthcare Provider Details

I. General information

NPI: 1366444523
Provider Name (Legal Business Name): ANTONIO R. PARENTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 N GLEBE RD #750
ARLINGTON VA
22201-5718
US

IV. Provider business mailing address

2901 TELESTAR CT. #300
FALLS CHURCH VA
22042-1263
US

V. Phone/Fax

Practice location:
  • Phone: 703-524-7202
  • Fax: 703-516-4501
Mailing address:
  • Phone: 703-591-1688
  • Fax: 703-591-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101039132
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: