Organization · NPI-2

Arthritis Consultants Of Tidewater

Internal Medicine, Rheumatology · Virginia Beach, VA

NPI number1336220375
StatusActive
Last updated in NPPESJul 23, 2021

Details

NPI
1336220375
Entity type
Organization (NPI-2)
Legal business name
Arthritis Consultants Of Tidewater
Organization subpart
No
Enumeration date
Oct 18, 2006
Certification date
Jul 23, 2021
Last updated
Jul 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology––Yes
174400000X Specialist–VA

Practice location

933 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-3172

Phone 757-491-2682 · Fax 757-491-9359

Mailing address

933 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-3172

Authorized official

Brenda Ann Condurso
Business Office Manager
7574917359

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