institution
Cancer Specialists Of Tidewater, Ltd.
Specialist in Chesapeake, Virginia
NPI 1073521548

Cancer Specialists Of Tidewater, Ltd. is a Specialist based in Chesapeake, VA. Cancer Specialists Of Tidewater, Ltd. practices in Chesapeake, VA. The NPI Number for Cancer Specialists Of Tidewater, Ltd. is 1073521548 and holds a License No. (Virginia).

The current practice location address for Cancer Specialists Of Tidewater, Ltd. is 110 Wimbledon Sq, Chesapeake, VA and can be reached out via phone at 757-436-1492 and via fax at 757-436-2912.

Location: 110 Wimbledon Sq, Chesapeake, VA, 23320-4946
institution
Provider Profile Details
NPI Number
1073521548
Provider Name
Cancer Specialists Of Tidewater, Ltd.
Credential
Provider Entity Type
Organization
Address
110 Wimbledon Sq, Chesapeake, VA, 23320-4946
Phone Number
757-436-1492
Fax Number
757-436-2912
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
033518 01 VA ANTHEM
890511H 01 NORTH CAROLINA MEDICAID
35037 01 VA OPTIMA/SENTARA
890584T 01 NORTH CAROLINA MEDICAID
093213 01 VA ANTHEM
52831 01 VA OPTIMA/SENTARA
60-48030 05 VA
830007176 01 RAILROAD MEDICARE
890500W 01 NORTH CAROLINA MEDICAID
830003514 01 RAILROAD MEDICARE
265950 01 VA ANTHEM
900001703 01 RAILROAD MEDICARE
58-45521 05 VA
institution
Provider Business Practice Location Address Details
Address
110 Wimbledon Sq
City
State
Zip
23320-4946
Phone Number
757-436-1492
Fax Number
757-436-2912
person
Provider Business Mailing Address Details
Address
110 Wimbledon Sq
City
State
Zip
23320-4946
Phone Number
757-436-1492
Fax Number
757-436-2912
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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