Dimattia, Ralph R

Dimattia, Ralph R is an individual health care provider with primary practice located at 100 Sentara Cir , Williamsburg VA 23188-5713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dimattia, Ralph R can be contacted via phone (757) 984-7218.

Contact Information

Primary practice address
100 Sentara Cir Williamsburg VA 23188-5713
Fax: (757) 984-7210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101036830 Virginia

Profile Details

NPI number 1013985068
LBN Legal business name Dimattia, Ralph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013985068 NPPES
Virginia MEDICAID 010026253

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