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NPI Code Detail

MEDICARE: DR. CHRISTOPHER P MICHETTI MD

MEDICARE: DR. CHRISTOPHER P MICHETTI MD
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
12086S0127XTrauma Surgery Physician0101231420VA
22086S0127XTrauma Surgery PhysicianD96725MD

General Provider Information

NPI Number : 1700807179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER P MICHETTI MD
Provider Business Mailing Address
First Line : 3300 GALLOWS RD
Second Line : PHYSICIAN BILLING
City : FALLS CHURCH
State : VA
Zip : 22042-3307
Country : US
Telephone Number : 703-776-1110
Fax Number : 703-776-2917
Provider Business Practice Location Address
First Line : 901 HARRY S TRUMAN DR N
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 240-677-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 11/09/2023

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