NPI | 1760541460 |
---|---|
Former Legal Business Name | GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC |
Entity Type | Organization |
Authorized Contact | MICHAEL L WEINSTEIN CEO/President 240-485-5210 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-12-08 |
Last Update Date | 2022-04-14 |