Atlantic Neurosurgery PC
Neurological Surgery in Virginia Beach, VA. Organization (NPI-2).
NPI number1477935682
StatusActive
Last updated in NPPESJun 24, 2015
Details
- NPI
- 1477935682
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Neurosurgery PC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2015
- Last updated
- Jun 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Practice location
1020 Independence BlvdSuite 210
Virginia Beach, VA 23455-5500
Phone 757-460-0455 · Fax 757-460-6026
Mailing address
1020 Independence BlvdSuite 210
Virginia Beach, VA 23455-5500
Phone 757-460-0455 · Fax 757-460-6026
Authorized official
Nasrollah Fatehi
President
7574600455
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