Organization · Type 2 NPI

Minimally Invasive Surgery Center of Tidewater

Surgery Physician · Norfolk, VA

NPI number 1861728461 Active

Practice location

160 Kingsley Ln, Suite 205
Norfolk, VA 23505-4600

Fax (757) 889-6686

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X0101058403 (VA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1861728461

Minimally Invasive Surgery Center of Tidewater's National Provider Identifier is 1861728461, issued on Nov 2, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Norfolk, VA. The record was last updated on Dec 22, 2009.