Individual
JAMES MARC CARDELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 KEMPSVILLE RD, BUILDING A, NORFOLK, VA 23502-4700
(757) 668-6550
(757) 668-6544
Mailing address
PO BOX 741593, ATLANTA, GA 30374-1593
(757) 668-8544
(757) 668-6544
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
0101229130
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006712991
VA PREMIER
VA
05
—
006712991
—
VA
01
—
283177
ALLIANCE/MDIPA
VA
01
—
29771
OPTIMA/SENTARA HEALTH
VA
01
—
311610834
NC HEALTH CHOICE
VA
01
—
3116108340005E
CIGNA
VA
01
—
4397279
AETNA
VA
01
—
452226
ANTHEM BCBS
VA
01
—
89063PG
NORTH CAROLINA MEDICAID
VA
01
—
G47212
BEECH STREET
VA
Enumeration date
07/31/2006
Last updated
01/11/2013
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