| NPI | 1255354130 |
|---|---|
| Other Name | CSG - PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | BRAD MARINO Chief Executive Officer 757-668-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-06-19 |