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Individual

DR. DOMINICK A RASCONA

Active
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Individual

DR. DOMINICK A RASCONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

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