Provider Demographics
NPI:1457520090
Name:PASCUAL, REYMOND DAMASCO (MD)
Entity Type:Individual
Prefix:DR
First Name:REYMOND
Middle Name:DAMASCO
Last Name:PASCUAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:860 OMNI BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:757-232-8769
Mailing Address - Fax:757-232-8875
Practice Address - Street 1:6 MANHATTAN SQ STE 100
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5846
Practice Address - Country:US
Practice Address - Phone:757-826-2102
Practice Address - Fax:757-825-9482
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.054202207Q00000X
PAMD443593207Q00000X
VA0101252195207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine