Individual
DR. ANDREW PATRICK LOIACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 KINGSLEY LN, SUITE 305, NORFOLK, VA 23505-4614
(757) 889-5422
(757) 889-5450
Mailing address
110 KINGSLEY LN, SUITE 305, NORFOLK, VA 23505-4614
(757) 889-5422
(757) 889-5450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
223586
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103184
—
MA
01
—
468281
TUFTS HEALTH PLAN
MA
01
—
J28599
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/08/2007
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