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Individual

JOSEPH J. KONEFAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9536 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 442-6050
(757) 961-3696
Mailing address
9536 HOSPITAL AVE, NASSAWADOX, VA 23413
(757) 442-6050
(757) 961-3696

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101033463
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007502290
VA
01
15317
SENTARA HEALTHCARE
VA
01
331810
ANTHEM BC BS
VA
Enumeration date
01/09/2006
Last updated
12/09/2013
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