| 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 |