| Sentara Infectious Disease Specialist | |
|
2790 Godwin Blvd Suite 225 Suffolk VA 23434-8151 | |
| (757) 934-4550 | |
| Not Available |
| Full Name | Sentara Infectious Disease Specialist |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2790 Godwin Blvd, Suffolk, Virginia |
| Authorized Official Name and Position | Cindy a Taylor (MANAGER) |
| Authorized Official Contact | 7572522765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentara Infectious Disease Specialist 2790 Godwin Blvd Suite 225 Suffolk VA 23434-8151 Ph: (757) 934-4550 | Sentara Infectious Disease Specialist 2790 Godwin Blvd Suite 225 Suffolk VA 23434-8151 Ph: (757) 934-4550 |
| NPI Number | 1609103902 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609103902 | NPI | - | NPPES |
| C02033 | Other | VA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (NU) | Primary |
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