person
Angela Jean Cerezo, PA-C
Medical Physician Assistant in Portsmouth, Virginia
NPI 1467462945

Angela Jean Cerezo is a Medical Physician Assistant based in Norfolk, VA and is specialized in Medical. Angela Jean Cerezo practices in Portsmouth, VA and has the professional credentials of PA-C. The NPI Number for Angela Jean Cerezo is 1467462945 and holds a License No. 0110001759 (Virginia).

The current practice location address for Angela Jean Cerezo is 600 Crawford St, Portsmouth, VA and can be reached out via phone at 757-397-6344 and via fax at 757-606-1185.

Location: 600 Crawford St, Portsmouth, VA, 23501-0936
person
Provider Profile Details
NPI Number
1467462945
Provider Name
Angela Jean Cerezo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
600 Crawford St, Portsmouth, VA, 23501-0936
Phone Number
757-397-6344
Fax Number
757-606-1185
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467462945 05 VA
PAR 01 VA USA MANAGED CARE
PAR 01 VA CORVEL
-003 01 VA TRICARE/CHAMPUS
PAR 01 VA MULTIPLAN
10093799P 01 VA OPTIMA HEALTH
institution
Provider Business Practice Location Address Details
Address
600 Crawford St
City
State
Zip
23704-3820
Phone Number
757-397-6344
Fax Number
757-606-1185
person
Provider Business Mailing Address Details
Address
600 Crawford St
City
State
Zip
23704-3820
Phone Number
757-397-6344
Fax Number
757-606-1185
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110001759 (Virginia)
Definition
Definition to come...
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