Doctor Name: | DR. SERGIO ROMEO RIMOLA |
NPI Number: | 1912971656 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., F.A.C.O.G. |
License Number: | 0101056587 |
Business Practice Address: | 8302 Old Courthouse Rd Suite A Vienna, VA - 221823873 |
Business Phone Number: | 7034489140 |
Business Fax Number: | 7034489141 |
Mailing Address: | 1082 Methven Ct, HERNDON |
State: | VA |
Postal Code: | 201702353 |
Phone Number: | 7034218629 |
Fax Number: | 7034489141 |
NPI Enumeration Date: | 02/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101056587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |