Provider Demographics
NPI:1326244559
Name:PIGUET, NICCOLE (MD)
Entity Type:Individual
Prefix:
First Name:NICCOLE
Middle Name:
Last Name:PIGUET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 GATEHOUSE RD.
Mailing Address - Street 2:SUITE 500 W
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042
Mailing Address - Country:US
Mailing Address - Phone:571-226-5600
Mailing Address - Fax:571-423-5064
Practice Address - Street 1:8505 ARLINGTON BLVD.
Practice Address - Street 2:SUITE 400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:571-226-5600
Practice Address - Fax:571-423-5064
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RILP012702080P0207X
VA0101247532080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology