Individual
DR. ROBERT JOHN D'HAEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 KINGSLEY LN, STE 305, NORFOLK, VA 23505-4614
(757) 889-5422
(757) 889-5450
Mailing address
110 KINGSLEY LN, STE 305, NORFOLK, VA 23505-4614
(757) 889-5422
(757) 889-5450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101034370
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007238878
—
VA
01
—
300043436
RAILROAD MEDICARE
VA
Enumeration date
05/18/2006
Last updated
12/12/2016
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