Individual
TAMMY J. DICHIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7213
(757) 668-8225
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001178
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010023599
—
VA
Enumeration date
06/09/2006
Last updated
12/07/2009
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