Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 0101039001 | VA |
NPI | 1003891854 |
---|---|
Provider Name | Dr. Emanuel Cirenza |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22911-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 21/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B95172 | (02) |