TIDEWATER PHYSICIANS MULTISPECIALTY GROUP

WILLIAMSBURG, VA
NPI1851530851
Other NameTIDEWATER PHYSICIANS MULTISPECIALTY GROUP- NEWTOWN MEDICAL, LLC
Entity TypeOrganization
Authorized ContactANGELA WALKER
Credentialing Coordinator
757-232-8769
Organization Subpart ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2009-02-13
Last Update Date2024-02-19
Business Address
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP
5424 DISCOVERY PARK BLVD SUITE 105
WILLIAMSBURG, VA 23188-2862
Phone number: 757-345-5870
Mailing Address
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP
860 OMNI BLVD STE 128
NEWPORT NEWS, VA 23606-4483
Phone number: 757-232-8769