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1902833577

NPI Code Detail

MEDICARE: ANNA M GIANTURCO MD

MEDICARE: ANNA M GIANTURCO 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
1	207L00000X	Anesthesiology Physician	0101252416	VA
2	207L00000X	Anesthesiology Physician	21065	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DA0096	OTHER	WV	RR MEDICARE
11	P00370037	OTHER	WV	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001706469	OTHER	WV	MSBCBS GROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7925403	OTHER	WV	AETNA
6	1070944	OTHER	WV	BRICKSTREET
7	205542387000	OTHER	WV	BRICKSTREET GROUP
8	270052997004	OTHER	WV	TRICARE
9	20554238700	OTHER	WV	WORKERS COMP
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	001720743	OTHER	WV	BCBS - MAAC
13	001907643	OTHER	WV	MSBCBS GROUP
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	205542387	OTHER	WV	WORKERS COMP
16	27005299700	OTHER	WV	BRICKSTREET GROUP
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902833577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA M GIANTURCO MD

Provider Business Mailing Address
First Line	:	3998 FAIR RIDGE DR
Second Line	:	STE 300
City	:	FAIRFAX
State	:	VA
Zip	:	22033-2907
Country	:	US
Telephone Number	:	516-945-3107
Fax Number	:	516-945-3107

Provider Business Practice Location Address
First Line	:	1500 COMMONWEALTH AVE
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-5229
Country	:	US
Telephone Number	:	757-345-3000
Fax Number	:

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	04/10/2015

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Directions to “ ANNA M GIANTURCO MD” Practice Location

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