NPI 1023972551
Tidewater Physicians Multispecialty Group PC
Practice location
- Address
- 5424 Discovery Park Boulevard Building B STE 203, Williamsburg, VA 23188
- Phone
- (757) 345-6223
- Mailing address
- 860 Omni Blvd STE 8, Newport News, VA 23606-4434
Authorised official
- Name
- Cecilia Crutcher Quintero
- Title
- Credentialing Manager
- Phone
- (757) 964-8739
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1023972551
- Entity type
- Organization
- NPI issued
- 10 Dec 2025
- Record last updated
- 16 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.