Provider Demographics
NPI:1801883301
Name:TAMINGER, DAVID J (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:TAMINGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2367 COLONY CROSSING PLACE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112
Mailing Address - Country:US
Mailing Address - Phone:804-323-1264
Mailing Address - Fax:804-323-1276
Practice Address - Street 1:2367 COLONY CROSSING PLACE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112
Practice Address - Country:US
Practice Address - Phone:804-323-1264
Practice Address - Fax:804-323-1276
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2016-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101228399207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5640881Medicaid
H28085Medicare UPIN
VA5640881Medicaid