| NPI | 1013933977 |
|---|---|
| Doing Business As | BRUTON AVENUE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-10-14 |