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Individual

MATTHEW BEGOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
39 ASH AVE, LANGLEY AFB, VA 23665-2011
(757) 764-6840
Mailing address
39 ASH AVE, LANGLEY AFB, VA 23665-2011
(757) 764-6840

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102204745
VA
2084P0800X
Psychiatry Physician
OS018553
PA

Other

Enumeration date
02/16/2015
Last updated
07/29/2019
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