First Colonial Urological Ass

NPI 1881702058 - Urology - 208800000X

NPI Details
NPI 1881702058
Enumeration Date 08/28/2006
Last Updated 02/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES STANLEY CHARLES
Position PRESIDENT OF CORP
Phone (757) 499-4932
Fax (757) 490-6693
Practice Location
4501 B WITCHDUCK RD
VA BEACH VA, 23455, US
Phone (757) 499-4932
Fax (757) 490-6693
Business Location
4501 N WITCHDUCK RD
VA BEACH VA, 23455, US
Phone (757) 499-4932
Fax (757) 490-6693
Toxanomy
Taxonomy Code 208800000X
License State Virginia
License Number 0101018138
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According to our database, First Colonial Urological Ass NPI is 1881702058, taxonomy code is 208800000X and license number is 0101018138, license state is located at Virginia. First Colonial Urological Ass physically located at 4501 B Witchduck Rd, Va Beach VA, 23455. NPI Number 1033115704 has the healthcare provider type.

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1881702058 NPI number is provided on an as is basis without warranty of any kind. 1881702058 is maintained by the National Plan & Provider Enumeration System. The contents of First Colonial Urological Ass are for informational purposes only.