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NPI Code Detail

MEDICARE: ELEANORA MARIE WOLOY M.D.

MEDICARE:   ELEANORA MARIE WOLOY  M.D.
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
12084P0800XPsychiatry Physician0101019580VA

Other Identifiers

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

General Provider Information

NPI Number : 1144360454
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANORA MARIE WOLOY M.D.
Provider Business Mailing Address
First Line : 833 DE LA FAYETTE CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-4753
Country : US
Telephone Number : 757-499-4446
Fax Number :
Provider Business Practice Location Address
First Line : 833 DE LA FAYETTE CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-4753
Country : US
Telephone Number : 757-499-4446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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Directions to “ ELEANORA MARIE WOLOY M.D.” Practice Location

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