Individual
DR. JOHN P D'AMELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3720 HOLLAND RD, STE 100, VIRGINIA BEACH, VA 23452-2859
(757) 498-0202
(757) 498-7936
Mailing address
3720 HOLLAND RD, STE 100, VIRGINIA BEACH, VA 23452-2859
(757) 498-0202
(757) 498-7936
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005906
ANTHEM BLUE CROSS BLUE SH
VA
01
—
15803
OPTIMA HEALTH
VA
01
—
216383
MDIPA
VA
01
—
480021563
RR MCR
VA
01
—
5180770001
DMERC
VA
01
—
5180770002
DMERC
VA
05
—
9301518
—
VA
Enumeration date
03/10/2006
Last updated
04/19/2017
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