| NPI | 1164505459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. PLOTNICK Owner/Physician 757-412-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101-049622) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |