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Individual

DR. ROSA MARIA JAVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5622 BENNETTS PASTURE RD, SUFFOLK, VA 23435-1602
(757) 484-3472
(757) 484-3408
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240120
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010320453
VA
01
10012105
SENTARA
VA
01
238460
ANTHEM
VA
01
450189
SOUTHERN HEALTH
VA
01
541595397
TRICARE
VA
01
7937827
AETNA
VA
01
8611215
CIGNA
VA
01
P00352924
RR MEDICARE
VA
Enumeration date
08/19/2006
Last updated
03/05/2010
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