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Individual

DR. MARGARITA DE VECIANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 FAIRFAX AVE, SUITE 310, NORFOLK, VA 23507-1914
(757) 446-7900
(757) 624-2254
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-7900
(757) 624-2254

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
0101050861
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
010105861
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-010
TRICARE/CHAMPUS
VA
05
006202756
VA
01
055049
ANTHEM
VA
01
0635V
BC/BS
NC
01
14055
SENTARA OPTIMA
VA
01
227482
UHC/MAMSI
VA
05
890635V
NC
01
PAR
VIRGINIA PREMIER HEALTH
VA
Enumeration date
02/13/2006
Last updated
01/26/2009
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