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Individual

DR. THOMAS JOSEPH MANSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-8920
(757) 446-5242
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8920
(757) 446-5242

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101036716
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-028
TRICARE/CHAMPUS
VA
05
006028667
VA
01
06221
BC/BS
NC
01
081965
ANTHEM
VA
01
12097
SENTARA OPTIMA
VA
01
227463
UHC/MAMSI
VA
05
8906221
NC
01
PAR
USA MANAGED CARE
VA
Enumeration date
02/22/2006
Last updated
01/28/2009
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