| NPI | 1881700946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ITRISH JOUBY SCOTT-BROWN Physician 757-562-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101232415) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-06-16 |