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NPI Code Detail

MEDICARE: CATHERINE DALTON MD

MEDICARE:   CATHERINE  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
1207R00000XInternal Medicine Physician0101048726VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1116304OTHERVASENTARA/OPTIMA
2146551OTHERVAANTHEM
3541595397OTHERVACIGNA
4541595397OTHERVAMID ATLANTIC SOLUTIONS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6541595397OTHERVATRICARE

General Provider Information

NPI Number : 1104899244
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE DALTON MD
Provider Business Mailing Address
First Line : 3241 WESTERN BRANCH BLVD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-5260
Country : US
Telephone Number : 757-686-3508
Fax Number : 757-686-0541
Provider Business Practice Location Address
First Line : 816 INDEPENDENCE BLVD
Second Line : SUITE 1-H
City : VIRGINIA BEACH
State : VA
Zip : 23455-6010
Country : US
Telephone Number : 757-464-2013
Fax Number : 757-464-3046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 04/12/2010

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Directions to “ CATHERINE DALTON MD” Practice Location

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