COLON RECTAL SURGERY OF TIDEWATER, P.C.

PORTSMOUTH, VA
NPI1790794022
Entity TypeOrganization
Authorized ContactJEFFREY STEPHEN WOLF
President
757-484-9653
Organization Subpart ?No
Primary Taxonomy208C00000X Colon & Rectal Surgery
(Licence: VA  0101031444)
Enumeration Date2006-08-05
Last Update Date2011-09-14
Business Address
COLON RECTAL SURGERY OF TIDEWATER, P.C.
3235 ACADEMY AVE SUITE 100
PORTSMOUTH, VA 23703-3200
Phone number: 757-484-9653
Mailing Address
COLON RECTAL SURGERY OF TIDEWATER, P.C.
3235 ACADEMY AVE SUITE 100
PORTSMOUTH, VA 23703-3200
Phone number: 757-484-9653
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