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Individual

JOHN C PASCHOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 SENTARA CIRCLE, SUITE 203, WILLIAMSBURG, VA 23188-5727
(757) 229-2236
(757) 221-0409
Mailing address
500 SENTARA CIRCLE, SUITE 203, WILLIAMSBURG, VA 23188-5727
(757) 229-2236
(757) 221-0409

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101059022
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65593
OPTIMA
VA
01
P00016047
RAILROAD MEDICARE
VA
Enumeration date
06/20/2005
Last updated
11/29/2007
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