Atlantic Internal Medicine | |
1232 Perimeter Pkwy Ste 205 Virginia Beach VA 23454-5924 | |
(757) 975-4695 | |
(757) 852-0699 |
Full Name | Atlantic Internal Medicine |
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Speciality | Internal Medicine |
Location | 1232 Perimeter Pkwy Ste 205, Virginia Beach, Virginia |
Authorized Official Name and Position | Ramon Matawaran (SOLE PROPERITOR) |
Authorized Official Contact | 7579158691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlantic Internal Medicine 1232 Perimeter Pkwy Ste 206 Virginia Beach VA 23454-5924 Ph: (757) 975-4695 | Atlantic Internal Medicine 1232 Perimeter Pkwy Ste 205 Virginia Beach VA 23454-5924 Ph: (757) 975-4695 |
NPI Number | 1427657667 |
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Provider Enumeration Date | 10/20/2020 |
Last Update Date | 10/22/2020 |
Medicare PECOS PAC ID | 5991119836 |
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Medicare Enrollment ID | O20210204000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427657667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ramon A Matawaran |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467427773 PECOS PAC ID: 7416058219 Enrollment ID: I20070724000299 |
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