Organization · Type 2 NPI

Sentara Medical Group

Vascular Surgery Physician · Hampton, VA

NPI number 1356523641 Active

Practice location

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963

Call (757) 262-1110 Map

Fax (757) 510-9116

Other practice locations

4000 Coliseum Dr, Ste 310, Hampton, VA 23666-5906 · (757) 262-1110

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None 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.

17 other providers at this address

NPI record

NPI: 1356523641
Entity type: Organization (Type 2)
Issued: Nov 29, 2007
Last updated: Apr 23, 2020
Status: Active

Other names

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Sentara Vascular Specialists · doing business as
Sentara Vascular Specialists · doing business as

Authorized official

Mrs. Doris Prince
Manager
(757) 252-2760

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About NPI 1356523641

Sentara Medical Group's National Provider Identifier is 1356523641, issued on Nov 29, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Hampton, VA. The record was last updated on Apr 23, 2020.