Individual
DR. PATRICIA L MARCUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 SENTARA CIR, SUITE 400, WILLIAMSBURG, VA 23188-5716
(757) 645-3150
(757) 645-3149
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101048943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010278341
—
VA
01
—
196181
ANTHEM
VA
01
—
2820774001
CIGNA HEALTHCARE
VA
01
—
28683
SENTARA/OPTIMA
VA
01
—
541634477076
TRICARE
VA
01
—
8154300/3154300
UNITED HEALTHCARE
VA
01
—
P00323504
RR/MEDICARE
—
Enumeration date
02/23/2006
Last updated
10/05/2012
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