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Individual

MR. VALERIO MARIA GENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1060 FIRST COLONIAL ROAD, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, VIRGINIA BEACH, VA 23454-3002
(757) 395-8000
(757) 395-8653
Mailing address
2876 GUARDIAN LN, VIRGINIA BEACH, VA 23452-7327
(757) 463-5240
(757) 463-6572

Taxonomy

Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
0101033451
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101033451
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013173
ANTHEM
VA
01
270756
MPIPA OPTIMA CHOICE
VA
01
35133
SENTARA
VA
05
6656331
VA
01
780885A
MEDICAID
NC
Enumeration date
04/14/2006
Last updated
03/06/2008
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