Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 0101259104 | VA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 0101259104 | VA |
NPI | 1285615476 |
---|---|
Provider Name | Walter P. Paladino |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Orange, VA 22960-2243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 19/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1285615476 | (05) | VA |
2009687 | (05) | OH |
B39617 | (02) | OH |