Organization · Type 2 NPI

Coastal Regenex Ltd

Multi-Specialty Clinic/Center · Chesapeake, VA

NPI number 1639705387 Active

Practice location

1013 Eden Way N Ste B
Chesapeake, VA 23320-2792

Call (757) 297-6750 Map

Fax (757) 609-3473

Mailing address

182 Odd Rd
Poquoson, VA 23662-2035

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1639705387

Coastal Regenex Ltd's National Provider Identifier is 1639705387, issued on Mar 13, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Chesapeake, VA. The record was last updated on Mar 13, 2020.