Family & Internal Medical Cntr

NPI 1104917145 - Family Medicine - 207Q00000X

NPI Details
NPI 1104917145
Enumeration Date 09/27/2006
Last Updated 04/09/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JITENDRA JITENDRA
Position PHYSICIAN
Phone (757) 471-3100
Fax (757) 471-3624
Practice Location
2020 S INDEPENDENCE BLVD
VIRGINIA BEACH VA, 23453-4776, US
Phone (757) 471-3100
Fax (757) 471-3624
Business Location
1708 MERCHANTS HOPE CT
VIRGINIA BEACH VA, 23455-7012, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Family & Internal Medical Cntr NPI is 1104917145, taxonomy code is 207Q00000X Family & Internal Medical Cntr physically located at 2020 S Independence Blvd, Virginia Beach VA, 23453-4776. NPI Number 1033115704 has the healthcare provider type.

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1104917145 NPI number is provided on an as is basis without warranty of any kind. 1104917145 is maintained by the National Plan & Provider Enumeration System. The contents of Family & Internal Medical Cntr are for informational purposes only.