Individual
LANDON FUNICIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
PO BOX 890941, CHARLOTTE, NC 28289-0941
(800) 475-6112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101277332
VA
Other
Enumeration date
04/02/2018
Last updated
07/26/2023
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