Provider Demographics
NPI:1538211875
Name:THOMAS M ALABANZA M D P C & VICENTE T FALGUI M D P C PTR
Entity type:Organization
Organization Name:THOMAS M ALABANZA M D P C & VICENTE T FALGUI M D P C PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-791-4648
Mailing Address - Street 1:990 MAIN ST.
Mailing Address - Street 2:204
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541
Mailing Address - Country:US
Mailing Address - Phone:434-791-4648
Mailing Address - Fax:434-793-2631
Practice Address - Street 1:990 MAIN ST
Practice Address - Street 2:204
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1828
Practice Address - Country:US
Practice Address - Phone:434-791-4648
Practice Address - Fax:434-793-2631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization