Healthcare Provider Details

I. General information

NPI: 1700259520
Provider Name (Legal Business Name): VIRGINIA ONCOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 GODWIN BLVD SUITE 101
SUFFOLK VA
23434-8151
US

IV. Provider business mailing address

5900 LAKE WRIGHT DR SUITE 300
NORFOLK VA
23502-1871
US

V. Phone/Fax

Practice location:
  • Phone: 757-539-0670
  • Fax: 757-539-1062
Mailing address:
  • Phone: 757-213-5683
  • Fax: 757-213-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: THOMAS A ALBERICO
Title or Position: PRESIDENT
Credential: MD
Phone: 757-466-8683