| Affinity Healthcare Group Newtown Llc | |
|
5715 Princess Anne Rd #106-107 Virginia Beach VA 23462-3222 | |
| (757) 962-0748 | |
| (757) 962-0876 |
| Full Name | Affinity Healthcare Group Newtown Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5715 Princess Anne Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Ronald A Martin (REGIONAL DIRECTOR) |
| Authorized Official Contact | 7579620748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Healthcare Group Newtown Llc 5715 Princess Anne Rd #106-107 Virginia Beach VA 23462-3222 Ph: (757) 962-0748 | Affinity Healthcare Group Newtown Llc 5715 Princess Anne Rd #106-107 Virginia Beach VA 23462-3222 Ph: (757) 962-0748 |
| NPI Number | 1164814612 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164814612 | NPI | - | NPPES |
| F092 | Other | VA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102201920 (Virginia) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | 207QA0401X (Virginia) | Secondary |
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