Provider Demographics
NPI:1164687190
Name:PASCUAL, MARGIE PANTANGCO (MD)
Entity Type:Individual
Prefix:
First Name:MARGIE
Middle Name:PANTANGCO
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7007 HARBOUR VIEW BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3657
Mailing Address - Country:US
Mailing Address - Phone:757-215-2784
Mailing Address - Fax:757-215-2728
Practice Address - Street 1:5818-D HARBOUR VIEW BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435
Practice Address - Country:US
Practice Address - Phone:757-673-5890
Practice Address - Fax:757-673-5946
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2015-07-17
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Provider Licenses
StateLicense IDTaxonomies
VA0101252144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1164687190Medicaid
VAVV7335AMedicare PIN