| NPI | 1508049198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WERBIN President/Owner 757-460-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 0001090514) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-04-22 |