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EMMA EVERLYN TUNAC CASTILLO BERCASIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 SENTARA CIR STE 201B, WILLIAMSBURG, VA 23188-5716
(757) 345-4655
(757) 390-4892
Mailing address
400 SENTARA CIR STE 201B, WILLIAMSBURG, VA 23188-5716
(757) 345-4655
(757) 390-4892

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101266473
VA
207RI0200X
Infectious Disease Physician
200100655
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129XG
BCBS
NC
01
4213840
CIGNA
NC
05
5900019
NC
01
P00671694
MEDICARE RAILROAD
Enumeration date
09/29/2006
Last updated
06/02/2025
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