Individual
DR. THOMAS JOHN JOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
241 CORPORATE BLVD, NORFOLK, VA 23502-4954
(757) 622-2200
Mailing address
241 CORPORATE BLVD, SUITE 210, NORFOLK, VA 23502-4975
(757) 622-2200
(757) 622-4866
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101237897
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093709156
VIRGINIA PREMIER
VA
05
—
1093709156
—
VA
01
—
181580
ANTHEM BCBS
VA
01
—
5391774
CIGNA
VA
05
—
5901573
—
NC
01
—
96223
OPTIMA
VA
01
—
P00233084
RR MEDICARE
VA
Enumeration date
09/06/2005
Last updated
10/14/2015
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