Fort Norfolk Plaza Medical Associates, LLC
Internal Medicine, Cardiovascular Disease in Norfolk, VA. Organization (NPI-2).
NPI number1699001081
StatusActive
Last updated in NPPESJul 15, 2020
Details
- NPI
- 1699001081
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Norfolk Plaza Medical Associates, LLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2009
- Certification date
- Jul 15, 2020
- Last updated
- Jul 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
301 Riverview AvenueSuite 500
Norfolk, VA 23510-1064
Phone 757-624-1785 · Fax 757-624-1759
Mailing address
301 Riverview AvenueSuite 500
Norfolk, VA 23510-1064
Phone 757-624-1785 · Fax 757-624-1759
Authorized official
Keith H Newby
President
7576241785
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