Individual
DR. ANTHONY TERRACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 305, NEWPORT NEWS, VA 23602-4414
(757) 947-3170
(757) 947-3180
Mailing address
12720 MCMANUS BLVD, SUITE 305, NEWPORT NEWS, VA 23602-4414
(757) 947-3170
(757) 947-3180
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101236493
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010071372
—
VA
01
—
138438
ANTHEM
VA
Enumeration date
12/21/2006
Last updated
10/03/2013
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