NPI 1093047797
Eastern State Hospital
Practice location
- Address
- 4601 Ironbound Rd, Williamsburg, VA 23188-2648
- Phone
- (757) 253-4309
- Fax
- (757) 253-4625
Authorised official
- Name
- John M Favret
- Title
- Hospital Director
- Phone
- (757) 253-5241
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1093047797
- Entity type
- Organization
- NPI issued
- 4 Feb 2010
- Record last updated
- 4 Feb 2010
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.