| Peninsula Gastroenterology, Pc | |
|
101 Philip Roth St Newport News VA 23606-1393 | |
| (757) 599-6333 | |
| (757) 599-9425 |
| Full Name | Peninsula Gastroenterology, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 101 Philip Roth St, Newport News, Virginia |
| Authorized Official Name and Position | Ernest Perry Buxton (PRESIDENT) |
| Authorized Official Contact | 7575996333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Gastroenterology, Pc 101 Philip Roth St Newport News VA 23606-1393 Ph: (757) 599-6333 | Peninsula Gastroenterology, Pc 101 Philip Roth St Newport News VA 23606-1393 Ph: (757) 599-6333 |
| NPI Number | 1174527444 |
|---|---|
| Provider Enumeration Date | 06/02/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174527444 | NPI | - | NPPES |
| 002373 | Other | ANTHEM | |
| 550054 | Other | OPTIMAHEALTH | |
| CM2099 | Other | MEDICARE RAILROAD | |
| 4489483 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Virginia) | Primary |
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