Organization · Type 2 NPI

Sentara Medical Group

Vascular Surgery Physician · Norfolk, VA

NPI number 1184806473 Active

Practice location

600 Gresham Dr, Ste 8620
Norfolk, VA 23507-1904

Fax (757) 625-0433

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1184806473

Sentara Medical Group's National Provider Identifier is 1184806473, issued on Nov 29, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Norfolk, VA. The record was last updated on Nov 28, 2011.