Provider Demographics
NPI:1700842382
Name:AIELLO, CHRISTINE M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:AIELLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:136 LINDEN DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6900
Mailing Address - Country:US
Mailing Address - Phone:540-678-3588
Mailing Address - Fax:540-678-9025
Practice Address - Street 1:115 SOUTH CHURCH STREET
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611
Practice Address - Country:US
Practice Address - Phone:540-955-4811
Practice Address - Fax:540-955-0976
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2021-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101229314207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5631556Medicaid
VA080008110Medicare PIN
H06285Medicare UPIN