institution
Colon Rectal Surgery Of Tidewater, P.c.
Colon & Rectal Surgery Physician in Portsmouth, Virginia
NPI 1790794022

Colon Rectal Surgery Of Tidewater, P.c. is a Colon & Rectal Surgery Physician based in Portsmouth, VA. Colon Rectal Surgery Of Tidewater, P.c. practices in Portsmouth, VA. The NPI Number for Colon Rectal Surgery Of Tidewater, P.c. is 1790794022 and holds a License No. 0101031444 (Virginia).

The current practice location address for Colon Rectal Surgery Of Tidewater, P.c. is 3235 Academy Ave, Portsmouth, VA and can be reached out via phone at 757-484-9653 and via fax at 757-484-9662.

Location: 3235 Academy Ave, Portsmouth, VA, 23703-3200
institution
Provider Profile Details
NPI Number
1790794022
Provider Name
Colon Rectal Surgery Of Tidewater, P.c.
Credential
Provider Entity Type
Organization
Address
3235 Academy Ave, Portsmouth, VA, 23703-3200
Phone Number
757-484-9653
Fax Number
757-484-9662
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005841232 05 VA
072337 01 VA BC/BS
200136 01 VA OPTIMA
292832 01 VA MAMSI
890528E 05 NC
institution
Provider Business Practice Location Address Details
Address
3235 Academy Ave
City
State
Zip
23703-3200
Phone Number
757-484-9653
Fax Number
757-484-9662
person
Provider Business Mailing Address Details
Address
3235 Academy Ave
City
State
Zip
23703-3200
Phone Number
757-484-9653
Fax Number
757-484-9662
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
License No.
0101031444 (Virginia)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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