Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 0101019495 | VA |
NPI | 1770567950 |
---|---|
Provider Name | Dr. Patsy J Loiacono |
First Address | Norfolk, VA 23502-4008 |
Second Address | Norfolk, VA 23502-4008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 28/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
139178 | BCBS (01) | VA |
25040 | OPTIMA (01) | VA |
25040 | SENTARA (01) | VA |
7271930 | (05) | VA |
890529C | (05) | NC |
D94257 | (02) |