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Individual

ALFONSO LOPEZ-CARDONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1101 PROFESSIONAL DRIVE STE C, WILLIAMSBURG, VA 23185
(757) 645-3795
(757) 645-3796
Mailing address
1101 PROFESSIONAL DR # DRIVEC, WILLIAMSBURG, VA 23185-3301
(757) 645-3795
(757) 645-3796

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101225784
VA

Other

Enumeration date
07/05/2006
Last updated
02/02/2012
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