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NPI Code Detail

MEDICARE: THOMAS A ALBERICO MD

MEDICARE: THOMAS A ALBERICO 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
1207RH0003XHematology & Oncology Physician0101032895VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
315506OTHERVAOPTIMA

General Provider Information

NPI Number : 1922001064
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS A ALBERICO MD
Provider Business Mailing Address
First Line : 6350 CENTER DR STE 200
Second Line :
City : NORFOLK
State : VA
Zip : 23502-4107
Country : US
Telephone Number : 757-213-5700
Fax Number : 757-213-5701
Provider Business Practice Location Address
First Line : 5900 LAKE WRIGHT DR
Second Line :
City : NORFOLK
State : VA
Zip : 23502-1871
Country : US
Telephone Number : 757-466-8683
Fax Number : 757-466-8892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/17/2019

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Directions to “ THOMAS A ALBERICO MD” Practice Location

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