Healthcare Provider Details

I. General information

NPI: 1891019642
Provider Name (Legal Business Name): MARY OJO-CARONS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2010
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 INDEPENDENCE CIR STE 2A
VIRGINIA BEACH VA
23455-6405
US

IV. Provider business mailing address

700 INDEPENDENCE CIR STE 2A
VIRGINIA BEACH VA
23455-6405
US

V. Phone/Fax

Practice location:
  • Phone: 757-473-2021
  • Fax: 757-518-1110
Mailing address:
  • Phone: 757-916-5348
  • Fax: 757-518-1110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0104135
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101260921
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number271561
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: