| Bayside Internal Medicine Plc | |
|
1020 Independence Blvd Suite 105 Virginia Beach VA 23455-5500 | |
| (757) 318-3700 | |
| (757) 318-3701 |
| Full Name | Bayside Internal Medicine Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1020 Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Starr Nichols (BILLING MANAGER) |
| Authorized Official Contact | 7573633001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Internal Medicine Plc 1020 Independence Blvd Suite 105 Virginia Beach VA 23455-5500 Ph: (757) 318-3700 | Bayside Internal Medicine Plc 1020 Independence Blvd Suite 105 Virginia Beach VA 23455-5500 Ph: (757) 318-3700 |
| NPI Number | 1851481154 |
|---|---|
| Provider Enumeration Date | 10/15/2006 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851481154 | NPI | - | NPPES |
| CB3911 | Other | VA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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