Macatangay Geronilla, Constancia Fatima

Macatangay Geronilla, Constancia Fatima is an individual health care provider with primary practice located at 2790 Godwin Blvd Ste 100 , Suffolk VA 23434-8151. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Macatangay Geronilla, Constancia Fatima can be contacted via phone (757) 983-8750.

Contact Information

Primary practice address
2790 Godwin Blvd Ste 100 Suffolk VA 23434-8151
Phone: (757) 983-8750
Fax: (757) 510-9442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 0101264253 Virginia

Profile Details

NPI number 1578881991
LBN Legal business name Macatangay Geronilla, Constancia Fatima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2010
Last updated Apr 19th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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