Individual
SANTA DALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 VALLEY AVE, WINCHESTER, VA 22601-2751
(540) 771-3032
(540) 713-0427
Mailing address
2055 VALLEY AVE, WINCHESTER, VA 22601-2751
(540) 771-3032
(540) 713-0427
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101231825
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005869625
—
VA
01
—
110235048
RAILROAD MEDICARE
—
05
—
1808081000
—
WV
Enumeration date
05/03/2006
Last updated
02/07/2023
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