| NPI | 1962618165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR V BERMISA Partner 757-673-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |