Organization · Type 2 NPI

Sentara Medical Group

Vascular Surgery Physician · Newport News, VA

NPI number 1629586417 Active

Practice location

1051 Loftis Blvd Ste 210
Newport News, VA 23606-3069

Call (757) 395-1601 Map

Fax (757) 510-9136

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 1629586417

Sentara Medical Group's National Provider Identifier is 1629586417, issued on Jan 16, 2018. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Newport News, VA. The record was last updated on Jan 16, 2018.