Anesthesia Specialists, Ptr
Anesthesiology in Norfolk, VA. Organization (NPI-2).
NPI number1013910330
StatusActive
Last updated in NPPESAug 18, 2023
Details
- NPI
- 1013910330
- Entity type
- Organization (NPI-2)
- Legal business name
- Anesthesia Specialists, Ptr
- Organization subpart
- No
- Enumeration date
- May 31, 2005
- Certification date
- Aug 18, 2023
- Last updated
- Aug 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 168544-R | VA | Yes |
Practice location
300 E Main St Ste 1300Norfolk, VA 23510-1756
Phone 757-388-3000
Mailing address
Po Box 79446Baltimore, MD 21279-0446
Phone 757-567-8832
Authorized official
Nicole J. Wood-Sabo
Practice Administrator
7575678832
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- Wayne Y Bergen, MDNPI 1720007826
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