Tidewater Skin Care And Pathology Pc

NPI 1215269097 - Dermatology - 207N00000X

NPI Details
NPI 1215269097
Enumeration Date 02/04/2010
Last Updated 12/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name PADMAN A PADMAN
Position PRESIDENT
Phone (757) 333-8001
Fax (757) 333-8002
Practice Location
1157 FIRST COLONIAL RD
SUITE 300
VIRGINIA BEACH VA, 23454-2432, US
Phone (757) 333-8001
Fax (757) 333-8002
Business Location
1157 FIRST COLONIAL RD
SUITE 300
VIRGINIA BEACH VA, 23454-2432, US
Phone (757) 333-8001
Fax (757) 333-8002
Toxanomy
Taxonomy Code 207N00000X
License State North Carolina
License Number 200301017
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According to our database, Tidewater Skin Care And Pathology Pc NPI is 1215269097, taxonomy code is 207N00000X and license number is 200301017, license state is located at North Carolina. Tidewater Skin Care And Pathology Pc physically located at 1157 First Colonial Rd, Virginia Beach VA, 23454-2432. NPI Number 1033115704 has the healthcare provider type.

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1215269097 NPI number is provided on an as is basis without warranty of any kind. 1215269097 is maintained by the National Plan & Provider Enumeration System. The contents of Tidewater Skin Care And Pathology Pc are for informational purposes only.