Doctor Name: | PIERRE-ETIENNE C CAGNIART |
NPI Number: | 1578859559 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101252346 |
Business Practice Address: | 620 John Paul Jones Cir Portsmouth, VA - 237082197 |
Business Phone Number: | 7579535000 |
Business Fax Number: | |
Mailing Address: | 1445 Creeks Edge Ct, FLEMING ISLAND |
State: | FL |
Postal Code: | 320037413 |
Phone Number: | 2533047220 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101252346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |