Organization
CARDIOVASCULAR ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT DONLON (ADMINSTRATOR)
(757) 499-2825
Entity
Organization
Contact information
Practice address
612 KINGSBOROUGH SQ, SUITE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9294
(757) 213-9341
Mailing address
5700 CLEVELAND STREET, SUITE 228, VIRGINIA BEACH, VA 23462-1752
(757) 499-2825
(757) 499-4248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01878
BCBS
NC
01
—
053609
ANTHEM BCBS
VA
01
—
054960
ANTHEM BCBS
VA
01
—
054961
ANTHEM BCBS
VA
05
—
1114971918
—
VA
05
—
8901878
—
NC
Enumeration date
05/19/2006
Last updated
02/12/2008
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