NPI 1386725661

Atlantic Urology LLC

Organisation Urology Physician Chesapeake, VA

Practice location

Address: 681 Battlefield Blvd N STE H, Chesapeake, VA 23320-4951
Phone: (757) 549-8059
Fax: (757) 436-3498

Authorised official

Name: David Michael Lustig
Title: Owner
Phone: (757) 549-8059

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 0101024391 (VA)

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Registry record

NPI: 1386725661
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 29 Nov 2007

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.