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Individual

DR. EDWARD CHARLES OLDFIELD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 FAIRFAX AVE, SUITE 572, NORFOLK, VA 23507-1914
(757) 446-8999
(757) 446-7922
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8999
(757) 446-7922

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101050092
VA
207RI0200X
Infectious Disease Physician
Primary
0101050092
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-032
TRICARE/CHAMPUS
VA
05
010199140
VA
01
023179
ANTHEM
VA
01
05107
BC/BS
NC
01
15860
SENTARA OPTIMA
VA
01
227499
UHC/MAMSI
VA
05
7905107
NC
01
PAR
CIGNA
VA
Enumeration date
02/27/2006
Last updated
06/08/2016
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