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12715 Warwick Blvd Suite I Newport News VA 23606-1800 | |
| (757) 890-2030 | |
| (757) 265-1282 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 12715 Warwick Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Stuart Irwin Freedman (PRESIDENT) |
| Authorized Official Contact | 7578902030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12715 Warwick Blvd Suite I Newport News VA 23606-1800 Ph: (757) 890-2030 | 12715 Warwick Blvd Suite I Newport News VA 23606-1800 Ph: (757) 890-2030 |
| NPI Number | 1740463504 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740463504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0104001912 (Virginia) | Primary |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |