| NPI | 1992752521 |
|---|---|
| Former Legal Business Name | GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L WEINSTEIN CEO/President 240-485-5210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2024-01-10 |