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Individual

DR. JOY DALESANDRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3640 HIGH ST, SUITE 2D, PORTSMOUTH, VA 23707-3213
(757) 398-2222
(757) 398-2020
Mailing address
3640 HIGH ST, SUITE 2D, PORTSMOUTH, VA 23707-3213
(757) 398-2222
(757) 398-2020

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101233423
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010287286
VA
01
197596
ANTHEM
01
58412
OPTIMA
VA
01
89065UE
MEDICAID OF NC
VA
Enumeration date
07/13/2005
Last updated
09/29/2009
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