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.
Identifier | Type | State | Issuer |
---|---|---|---|
005841232 | 05 | VA | |
072337 | 01 | VA | BC/BS |
200136 | 01 | VA | OPTIMA |
292832 | 01 | VA | MAMSI |
890528E | 05 | NC |
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