MEDICARE: DR. JOSEPH M DALTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	0101047388	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487638623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH M DALTON MD

Provider Business Mailing Address
First Line	:	329 PHILLIP AVE
Second Line	:	STE 102
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-4461
Country	:	US
Telephone Number	:	757-481-2313
Fax Number	:	757-481-5587

Provider Business Practice Location Address
First Line	:	1020 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3002
Country	:	US
Telephone Number	:	757-481-2313
Fax Number	:	757-481-0569

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	03/02/2020

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