NPI | 1962618165 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR V BERMISA Partner 757-673-6801 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-05-15 |
Last Update Date | 2025-09-11 |