MEDICARE: ARLENE INGAL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	2305202165	VA

General Provider Information

NPI Number	:	1295908523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENE INGAL PT

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	800-232-3550
Fax Number	:

Provider Business Practice Location Address
First Line	:	9211 BURGE AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23237-3038
Country	:	US
Telephone Number	:	804-275-7200
Fax Number	:	804-743-2525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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Directions to “ ARLENE INGAL PT” Practice Location

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