| NPI | 1336220375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN CONDURSO Business Office Manager 757-491-7359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-07-23 |