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Individual

TERESITA CAPATI DIONISIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
502 BEECH ST, FARMVILLE, VA 23901-1222
(434) 392-9438
(434) 392-7630
Mailing address
502 BEECH ST, FARMVILLE, VA 23901-1222
(434) 392-9438
(434) 392-7630

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101035421
VA
208000000X
Pediatrics Physician
Primary
0101035421
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006702767
VIRGINIA PREMIERE HEALTH
VA
05
006702767
VA
01
081150
ANTHEM INSURANCE
VA
01
4390188
AETNA INSURANCE
VA
01
6848719
CIGNA INSURANCE
VA
01
843062ML2
MAMSI LIFE & HEALTH
VA
01
843062OC2
OPTIMUM CHOICE
VA
01
99161
OPTIMA FAMILY CARE
VA
Enumeration date
05/10/2006
Last updated
05/24/2022
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