Organization · Type 2 NPI

Plastic Surgery Associates of Tidewater, Inc.

Specialist · Chesapeake, VA

NPI number 1295822351 Active

Practice location

300 Medical Pkwy, Suite 316
Chesapeake, VA 23320-4985

Call (757) 547-0047 Map

Fax (757) 548-3370

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X05286935 (VA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295822351

Plastic Surgery Associates of Tidewater, Inc.'s National Provider Identifier is 1295822351, issued on Oct 9, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chesapeake, VA. The record was last updated on Sep 22, 2012.