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NPI Code Detail

MEDICARE: LAWRENCE A. VIRGILIO M.D.

MEDICARE: LAWRENCE A. VIRGILIO M.D.
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
1207ZC0500XCytopathology Physician25MA05982200NJ
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician25MA05982200NJ
3207ZI0100XImmunopathology Physician25MA05982200NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447250501
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE A. VIRGILIO M.D.
Provider Business Mailing Address
First Line : PO BOX 56
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-0056
Country : US
Telephone Number : 609-463-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2 STONE HARBOR BLVD
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-2138
Country : US
Telephone Number : 609-463-2755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 10/23/2007

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