NPI 1437331725

Sentara Medical Group

Organisation Urology Physician Chesapeake, VA

Practice location

Address: 113 Gainsborough Sq STE 202, Chesapeake, VA 23320-1713
Phone: (757) 457-5480
Fax: (757) 549-4168
Mailing address: PO Box 2502, Norfolk, VA 23501-2502

Authorised official

Name: Cindy a Taylor
Title: Credentialing Manager
Phone: (757) 687-1076

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Virginia →

Registry record

NPI: 1437331725
Entity type: Organization
NPI issued: 29 Nov 2007
Record last updated: 26 Feb 2009

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.