CHRISTINA M IDE

CHARLOTTESVILLE, VA
NPI1376718841
Former NameCHRISTINA M MARCINOWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110003111)
Additional Taxonomies207RH0003X Internal Medicine, Hematology & Oncology
(Licence: VA  0110003111)
Enumeration Date2008-04-25
Last Update Date2024-09-25
Business Address
CHRISTINA M IDE PA
1240 LEE ST
CHARLOTTESVILLE, VA 22908-2350
Phone number: 434-924-9333
Mailing Address
CHRISTINA M IDE PA
PO BOX 749112
ATLANTA, GA 30374-9112
Phone number: