Individual
DR. THOMAS J DUNTEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5818 HARBOUR VIEW BLVD, SUITE 240, SUFFOLK, VA 23435
(757) 483-6100
(757) 483-2203
Mailing address
5818 HARBOUR VIEW BLVD, SUITE 240, SUFFOLK, VA 23435
(757) 483-6100
(757) 483-2203
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101053921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058201504
MEDICAID FIRST HEALTH
—
05
—
005820154
—
VA
01
—
100000220
MEDICARE TRAILBLAZERS
—
01
—
110176759
TRAVELERS RR MEDICARE
—
01
—
209383
ANTHEM OBICI
—
01
—
264925
MAMSI OPT CHOICE
—
01
—
325221
ANTHEM HBV
—
01
—
541870984
VA HEALTH NETWORK
—
01
—
541870984006
CHAMPUS
—
01
—
541870984028
CIGNA
—
01
—
69328
SENTARA OPTIMA
—
05
—
790528L
—
NC
01
—
C05825
MEDICARE GROUP
—
01
—
C13214
MEDICARE RR GROUP
—
Enumeration date
12/06/2005
Last updated
02/24/2010
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