| NPI Details | |
|---|---|
| NPI | 1194034363 |
| Enumeration Date | 10/05/2010 |
| Last Updated | 05/10/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 7 years ago |
| Authorized Information | |
|---|---|
| Name | FREDRICK N FREDRICK |
| Position | MANAGING PARTNER |
| Phone | (757) 437-2882 |
| Fax | (757) 502-8808 |
| Practice Location | |
|---|---|
| 329 PHILLIP AVE SUITE 102 VIRGINIA BEACH VA, 23454-4380, US |
|
| Phone | (757) 437-2882 |
| Fax | (757) 502-8808 |
| Business Location | |
|---|---|
| 329 PHILLIP AVE SUITE 102 VIRGINIA BEACH VA, 23454-4380, US |
|
| Phone | (757) 437-2882 |
| Fax | (757) 502-8808 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2086S0129X |
| License State | |
| License Number | |
| Remove 1194034363 NPI Number | |
According to our database, Atlantic Vein & Vascular Associates NPI is 1194034363, taxonomy code is 2086S0129X Atlantic Vein & Vascular Associates physically located at 329 Phillip Ave, Virginia Beach VA, 23454-4380. NPI Number 1033115704 has the healthcare provider type.
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1194034363 NPI number is provided on an as is basis without warranty of any kind. 1194034363 is maintained by the National Plan & Provider Enumeration System. The contents of Atlantic Vein & Vascular Associates are for informational purposes only.
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