Basic Information
| Provider Information | |||||||||
| NPI: | 1760845564 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCAPEROTTI | ||||||||
| FirstName: | MOIRA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8100 ASHTON AVE STE 215 | ||||||||
| Address2: | |||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201095688 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024448168 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8100 ASHTON AVE STE 215 | ||||||||
| Address2: | |||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201095688 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033613255 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2016 | ||||||||
| LastUpdateDate: | 07/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 0101271871 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.