NPI | 1225246812 |
---|---|
Former Legal Business Name | GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER, PLLC |
Entity Type | Organization |
Authorized Contact | MICHAEL L WEINSTEIN CEO/President 240-485-5210 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-04-14 |