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1225174154
BAYSIDE PEDIATRICS LLC
VIRGINIA BEACH, VA
NPI
1225174154
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Entity Type
Organization
Authorized Contact
SAILEELA VENKATESAN
Physician Owner
757-460-5521
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-01-29
Last Update Date
2020-08-22
Business Address
BAYSIDE PEDIATRICS LLC
1020 INDEPENDENCE BLVD STE 105
VIRGINIA BEACH, VA 23455-5500
Phone number: 757-460-5521
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Mailing Address
BAYSIDE PEDIATRICS LLC
1020 INDEPENDENCE BLVD STE 105
VIRGINIA BEACH, VA 23455-5500
Phone number: 757-460-5521
Copy
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