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Individual

JOSEPH FRANK DILUSTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 CHILDRENS LN, SUITE 5A, NORFOLK, VA 23507-1910
(757) 668-7990
(757) 668-7995
Mailing address
PO BOX 538480, ATLANTA, GA 30353-8480
(757) 668-7990
(757) 668-7995

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101043691
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006101445
VA
01
287396
ANTHEM BCBS
VA
01
298129
ALLIANCE/MDIPA
VA
01
311610834
NC HEALTH CHOICE
VA
01
3116108340010E
CIGNA
VA
01
4355191
AETNA
VA
01
50615
OPTIMA/SENTARA HEALTH
VA
05
7906416
NC
Enumeration date
07/31/2006
Last updated
08/20/2014
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