Provider Demographics
NPI:1558505651
Name:DOLEWSKI, DANIEL ANTHONY II (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ANTHONY
Last Name:DOLEWSKI
Suffix:II
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12087
Mailing Address - Street 2:PENINSULA RADIOLOGICAL ASSOCIATES
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23612-2087
Mailing Address - Country:US
Mailing Address - Phone:757-867-6101
Mailing Address - Fax:757-867-7547
Practice Address - Street 1:500 J CLYDE MORRIS BLVD
Practice Address - Street 2:RIVERSIDE REGIONAL MEDICAL CENTER
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1929
Practice Address - Country:US
Practice Address - Phone:757-612-6999
Practice Address - Fax:757-867-7547
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2019-11-08
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Provider Licenses
StateLicense IDTaxonomies
VA01012571202085R0202X, 2085R0202X
TXQ22712085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1558505651Medicaid