| NPI | 1508813387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CETRONE Medical Director 757-686-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-11-02 |