NPI | 1992752521 |
---|---|
Former Legal Business Name | GASTROINTESTINAL & LIVER SPECIALIST OF TIDEWATER PLLC |
Entity Type | Organization |
Authorized Contact | DANIEL A NEUMANN President & Chief Strategy Officer 757-483-6100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-05-28 |
Last Update Date | 2025-01-07 |