Individual
DR. MARK A DOLORESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2990
(804) 520-1764
Mailing address
445 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2990
(804) 520-1764
(804) 616-4221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101048055
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101048055
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1848343
CIGNA
VA
01
—
210024
SOUTHERN HEALTH
VA
01
—
3161423
AETNA
VA
01
—
386554
ANTHEM
VA
01
—
569703
UNITED HEALTHCARE
—
05
—
569703
—
VA
01
—
P00019576
RAILROAD MEDICARE
VA
Enumeration date
07/13/2006
Last updated
07/15/2024
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