Provider Demographics
NPI:1477576791
Name:AUGELLO, VALERIE CARREGAL (DO)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:CARREGAL
Last Name:AUGELLO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 PENNSYLVANIA AVE NW STE A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3202
Mailing Address - Country:US
Mailing Address - Phone:202-861-8888
Mailing Address - Fax:202-861-8887
Practice Address - Street 1:2100 PENNSYLVANIA AVE NW STE A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3202
Practice Address - Country:US
Practice Address - Phone:202-861-8888
Practice Address - Fax:202-861-8887
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD31422207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology