Provider Demographics
NPI:1457975518
Name:BATTAGLIA, NICHOLAS ROCCO (DO)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ROCCO
Last Name:BATTAGLIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:935 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-2211
Mailing Address - Country:US
Mailing Address - Phone:434-315-5340
Mailing Address - Fax:434-315-2942
Practice Address - Street 1:935 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-2211
Practice Address - Country:US
Practice Address - Phone:434-315-5340
Practice Address - Fax:434-315-2942
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102207612207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2007Q00000XOtherFAMILY MEDICINE