Individual
DR. DAVID C CANGCUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 SOUTH AVE STE 4B, COLONIAL HEIGHTS, VA 23834-3620
(804) 504-0530
(804) 504-0532
Mailing address
930 SOUTH AVE STE 4B, COLONIAL HEIGHTS, VA 23834-3620
(804) 504-0530
(804) 504-0532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101036702
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040009006
MEDICARE RAILRAOD
—
01
—
040009007
MEDICARE RAILROAD
—
Enumeration date
03/29/2006
Last updated
04/03/2014
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