| NPI | 1699940270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY IULIANO Billing Manager 757-842-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207Q00000X Family Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 209800000X Legal Medicine | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-06-21 |