Organization · Type 2 NPI
Tidewater Orthopaedic Associates Inc
Specialist · Suffolk, VA
NPI number
1629629340
Active
Practice location
7007 Harbour View Blvd Ste 108
Suffolk, VA 23435-3657
Fax (757) 827-2566
Mailing address
901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250
Other practice locations
- 3920A Bridge Rd Ste 305, Suffolk, VA 23435-1126 · (757) 827-2480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
| Orthopaedic Surgery Physician | 207X00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
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 1629629340
Tidewater Orthopaedic Associates Inc's National Provider Identifier is 1629629340, issued on Sep 24, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Suffolk, VA. The record was last updated on Apr 5, 2024.