| NPI | 1508813387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID FORMAN Director 757-686-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208600000X Surgery | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 208C00000X Colon & Rectal Surgery | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 213E00000X Podiatrist | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2025-12-30 |