Basic Information
| Provider Information | |||||||||
| NPI: | 1174561260 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOWNTOWN FAMILY HEALTHCARE INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 310 AVON ST | ||||||||
| Address2: | SUITE 9 | ||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229025750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4348171818 | ||||||||
| FaxNumber: | 4348179607 | ||||||||
| Practice Location | |||||||||
| Address1: | 310 AVON ST | ||||||||
| Address2: | SUITE 9 | ||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229025750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4348171818 | ||||||||
| FaxNumber: | 4348179607 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2006 | ||||||||
| LastUpdateDate: | 09/08/2014 | ||||||||
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| AuthorizedOfficialLastName: | MALONEY | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DR | ||||||||
| AuthorizedOfficialTelephone: | 4348171818 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.