Individual
JAMES O CARLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4092 FOXWOOD DR, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
Mailing address
PO BOX 7549, PORTSMOUTH, VA 23707-0549
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101019049
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010027493
RAILROAD MEDICARE
—
01
—
036016
ANTHEM
VA
01
—
10034
SENTARA
—
01
—
212792
MAMSI
—
01
—
541141362
TRICARE
—
05
—
6081975
—
VA
05
—
890525M
—
NC
Enumeration date
07/25/2006
Last updated
03/07/2023
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