Vanamberg Pc

NPI 1871775163 - Clinic/Center - 261QH0100X

NPI Details
NPI 1871775163
Enumeration Date 11/29/2007
Last Updated 06/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW BRADLEY MATTHEW
Position PRESIDENT
Phone (757) 498-5433
Fax
Practice Location
2304 KENSTOCK DR STE 102
VIRGINIA BEACH VA, 23454-3354, US
Phone (757) 498-5433
Fax
Business Location
2304 KENSTOCK DR STE 102
VIRGINIA BEACH VA, 23454-3354, US
Phone (757) 498-5433
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State Virginia
License Number 0104001846
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According to our database, Vanamberg Pc NPI is 1871775163, taxonomy code is 261QH0100X and license number is 0104001846, license state is located at Virginia. Vanamberg Pc physically located at 2304 Kenstock Dr Ste 102, Virginia Beach VA, 23454-3354. NPI Number 1033115704 has the healthcare provider type.

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1871775163 NPI number is provided on an as is basis without warranty of any kind. 1871775163 is maintained by the National Plan & Provider Enumeration System. The contents of Vanamberg Pc are for informational purposes only.