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Individual

DR. JOSEPH CONCODORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9105 STONY POINT PKWY, RICHMOND, VA 23235-1979
(804) 287-1030
(804) 288-3529
Mailing address
9105 STONY POINT PKWY, RICHMOND, VA 23235-1979
(804) 287-1030
(804) 288-3529

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101 026311
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007501978
VA
01
090667000-00
QUALCHOICE
VA
01
1576
CARENET
VA
01
1900008
UNITED HEALTHCARE
VA
01
23308
SENTARA FAMILY CARE
VA
01
2540
CIGNA
VA
01
323385
ALLIANCE
VA
01
340014318
RAILROAD MEDICARE
VA
01
425966900
TRICARE
VA
01
4400145
AETNA PPO
VA
01
738307
AETNA HMO
VA
01
76653
SOUTHERN HEALTH
VA
01
C05484
MEDICARE GROUP #
VA
01
CA4542
RAILROAD MEDICARE GROUP #
VA
Enumeration date
04/13/2006
Last updated
03/14/2013
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