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NPI Code Detail

MEDICARE: DR. JOY DALESANDRO M.D.

MEDICARE:  DR. JOY  DALESANDRO  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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician0101233423VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1197596OTHERANTHEM
258412OTHERVAOPTIMA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396743332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOY DALESANDRO M.D.
Provider Business Mailing Address
First Line : 3640 HIGH ST
Second Line : SUITE 2D
City : PORTSMOUTH
State : VA
Zip : 23707-3213
Country : US
Telephone Number : 757-398-2222
Fax Number : 757-398-2020
Provider Business Practice Location Address
First Line : 3640 HIGH ST
Second Line : SUITE 2D
City : PORTSMOUTH
State : VA
Zip : 23707-3213
Country : US
Telephone Number : 757-398-2222
Fax Number : 757-398-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 09/29/2009

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Directions to “ DR. JOY DALESANDRO M.D.” Practice Location

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