Individual
DR. CONSTANCIA FATIMA MACATANGAY GERONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
(757) 510-9442
Mailing address
2790 GODWIN BLVD STE 100, SUFFOLK, VA 23434-8151
(757) 983-8750
(757) 510-9442
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101264253
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2010
Last updated
04/19/2024
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