| NPI | 1770727463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSTUART MAXWELL GUARNIERI Doctor/CEO 757-345-0069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101041390) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |