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Jason J Condino, MD
Military Health Care Provider in Virginia Beach, Virginia
NPI 1346536489

Jason J Condino is a Military Health Care Provider based in Virginia Beach, VA. Jason J Condino practices in Virginia Beach, VA and has the professional credentials of MD. The NPI Number for Jason J Condino is 1346536489 and holds a License No. 0101252585 (Virginia).

The current practice location address for Jason J Condino is 1550 Tomcat Blvd, Virginia Beach, VA and can be reached out via phone at 577-953-3835.

Location: 1550 Tomcat Blvd, Virginia Beach, VA, 23460-2188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346536489
Provider Name
Jason J Condino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1550 Tomcat Blvd, Virginia Beach, VA, 23460-2188
Phone Number
577-953-3835
Fax Number
Provider Enumeration Date
06/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1550 Tomcat Blvd
City
Virginia Beach
State
Virginia
Zip
23460-2188
Phone Number
577-953-3835
Fax Number
person
Provider Business Mailing Address Details
Address
1550 Tomcat Blvd
City
Virginia Beach
State
Virginia
Zip
23460-2188
Phone Number
577-953-3835
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0101252585 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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