Individual
MASARU NISHIAOKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4509 WHITECHAPEL DRIVE, VIRGINIA BEACH, VA 23455
(757) 460-4655
(757) 460-7744
Mailing address
4509 WHITECHAPEL DRIVE, VIRGINIA BEACH, VA 23455
(757) 460-4655
(757) 460-7744
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
0101268181
VA
Other
Enumeration date
04/06/2017
Last updated
09/28/2021
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