Individual
DR. AMORSOLO LAJA SUGUITAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC, PHD
Contact information
Practice address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
(757) 506-0157
Mailing address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
(757) 506-0157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101280687
VA
207R00000X
Internal Medicine Physician
20140
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740711241
—
NV
01
—
20140
STATE LICENSE
NV
Enumeration date
03/26/2017
Last updated
01/16/2024
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