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Peninsula Surgical Associates, Inc.
Specialist in Hampton, Virginia
NPI 1720159270

Peninsula Surgical Associates, Inc. is a Specialist based in Hampton, VA. Peninsula Surgical Associates, Inc. practices in Hampton, VA. The NPI Number for Peninsula Surgical Associates, Inc. is 1720159270 and holds a License No. 0101036761 (Virginia).

The current practice location address for Peninsula Surgical Associates, Inc. is 4000 Coliseum Dr, Hampton, VA and can be reached out via phone at 757-827-2040 and via fax at 757-827-2055.

Location: 4000 Coliseum Dr, Hampton, VA, 23666-5906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720159270
Provider Name
Peninsula Surgical Associates, Inc.
Credential
Provider Entity Type
Organization
Address
4000 Coliseum Dr, Hampton, VA, 23666-5906
Phone Number
757-827-2040
Fax Number
757-827-2055
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7301511 05 VA
institution
Provider Business Practice Location Address Details
Address
4000 Coliseum Dr
City
Hampton
State
Virginia
Zip
23666-5906
Phone Number
757-827-2040
Fax Number
757-827-2055
person
Provider Business Mailing Address Details
Address
4000 Coliseum Dr
City
Hampton
State
Virginia
Zip
23666-5906
Phone Number
757-827-2040
Fax Number
757-827-2055
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101036761 (Virginia)
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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