Individual
STEPHEN C. RESTAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7179
(757) 668-9810
Mailing address
PO BOX 741622, ATLANTA, GA 30374-1622
(757) 668-7179
(757) 668-8910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102037157
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006732801
—
VA
05
—
890668V
—
NC
Enumeration date
07/11/2006
Last updated
12/10/2012
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