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Individual

DR. LOPITO BAUSA BUGARIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 MEDICAL PARKWAY, SUITE 315, CHESAPEAKE, VA 23320
(757) 547-0588
(757) 548-8572
Mailing address
200 MEDICAL PARKWAY, SUITE 315, CHESAPEAKE, VA 23320
(757) 547-0588
(757) 548-8572

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101222102
VA
208000000X
Pediatrics Physician
0101222102
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005605423
VA
Enumeration date
05/09/2006
Last updated
07/07/2017
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