Individual
DR. DOMINICK A RASCONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 446-8920
(757) 624-2272
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-0374
(757) 624-2272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101056691
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101056691
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101056691
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-029
TRICARE/CHAMPUS
VA
05
—
005834511
—
VA
01
—
0529Q
BC/BS
NC
01
—
22640
SENTARA/OPTIMA
VA
01
—
450726
ANTHEM BC'BS
VA
05
—
790529Q
—
NC
01
—
966125
UHC/MAMSI
VI
01
—
PAR
VA HEALTH NETWORK
VA
Enumeration date
03/01/2006
Last updated
09/16/2010
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