Individual
RONALD MEJZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
(757) 460-7744
Mailing address
4509 WHITECHAPEL DR, VIRGINIA BEACH, VA 23455-6447
(757) 460-4655
(757) 460-7744
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB07691800
NJ
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
0102206162
VA
Other
Enumeration date
03/14/2006
Last updated
07/16/2020
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