Individual
EMILY PERDONCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3737 HIGH ST, PORTSMOUTH, VA 23707
(757) 686-9400
(757) 337-1049
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098745
MI
207RC0000X
Cardiovascular Disease Physician
4301098745
MI
207RI0011X
Interventional Cardiology Physician
0101264479
VA
207RI0011X
Interventional Cardiology Physician
Primary
86110
GA
390200000X
Student in an Organized Health Care Education/Training Program
4301098745
MI
Other
Enumeration date
06/09/2011
Last updated
10/28/2022
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