Organization · Type 2 NPI

Mary Immaculate Hospital

Vascular Surgery Physician · Newport News, VA

NPI number 1689047979 Active

Practice location

12720 Mcmanus Blvd, Suite 203
Newport News, VA 23602-4414

Call (757) 397-2383 Map

Fax (757) 673-0236

Mailing address

7007 Harbour View Blvd, Suite 108
Suffolk, VA 23435-3657

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 1689047979

Mary Immaculate Hospital's National Provider Identifier is 1689047979, issued on Nov 9, 2015. 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 Nov 9, 2015.