Individual
DR. ANTONIO QUIDGLEY-NEVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 FAIRFAX AVE, 3RD FLOOR, NORFOLK, VA 23507-2007
(757) 446-5915
(757) 446-5969
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5915
(757) 446-5969
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101231877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE/CHAMPUS
VA
05
—
010065801
—
VA
01
—
06678
BC/BS
NC
01
—
10007083
SENTARA/OPTIMA
VA
01
—
139142
ANTHEM
VA
01
—
3117723
UHC/MAMSI
VA
01
—
76226
SENTARA
VA
05
—
8906678
—
NC
01
—
PAR
CIGNA
VA
Enumeration date
02/28/2006
Last updated
01/27/2009
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