Individual
JASON J CONDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 TOMCAT BLVD, NAS OCEANA BRANCH HEALTH CLINIC, VIRGINIA BEACH, VA 23460-2188
(577) 953-3835
Mailing address
1550 TOMCAT BLVD, NAS OCEANA BRANCH HEALTH CLINIC, VIRGINIA BEACH, VA 23460-2188
(757) 953-3779
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0101252585
VA
Other
Enumeration date
06/28/2011
Last updated
08/25/2021
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