Organization · Type 2 NPI

Ear,nose&throat of Tidewater Inc

Otolaryngology Physician · Suffolk, VA

NPI number 1467533109 Active

Practice location

2790 Godwin Blvd, Suite 205
Suffolk, VA 23434-8151

Mailing address

1109 Pine Valley Dr
Suffolk, VA 23434-6232

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1467533109

Ear,nose&throat of Tidewater Inc's National Provider Identifier is 1467533109, issued on Oct 18, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Suffolk, VA. The record was last updated on Aug 22, 2020.