Individual
DR. ANDREA MISQUITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(804) 262-6900
Mailing address
PO BOX 844555, BOSTON, MA 02284-4555
(757) 889-5422
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101231969
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7239955
—
VA
Enumeration date
03/27/2006
Last updated
11/06/2018
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