Individual
IRENE G. RESTAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7244
(757) 668-9814
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101048592
VA
2080P0210X
Pediatric Nephrology Physician
Primary
0101048592
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012193300005
—
PA
05
—
006721966
—
VA
05
—
698091100
—
MD
05
—
9840886000
—
WV
Enumeration date
05/26/2006
Last updated
01/20/2010
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