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Individual

ROBERT C SQUATRITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5900 LAKE WRIGHT DR, NORFOLK, VA 23502-1871
(757) 466-8683
(757) 466-0250
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
0101056888
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006201440
VA
01
10391
OPTIMA
VA
01
830004741
RAILROAD MEDICARE
VA
Enumeration date
06/20/2005
Last updated
09/22/2014
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