| Beach Family Medicine, Inc. | |
|
1856 Colonial Medical Court Suite B Virginia Beach VA 23454-3075 | |
| (757) 499-9671 | |
| Not Available |
| Full Name | Beach Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1856 Colonial Medical Court, Virginia Beach, Virginia |
| Authorized Official Name and Position | Gregory Alan Haase (CHAIRMAN) |
| Authorized Official Contact | 7574999671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Family Medicine, Inc. 1783 Upper Chelsea Reach Virginia Beach VA 23454-1124 Ph: (757) 499-9671 | Beach Family Medicine, Inc. 1856 Colonial Medical Court Suite B Virginia Beach VA 23454-3075 Ph: (757) 499-9671 |
| NPI Number | 1245449776 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245449776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101025209 (Virginia) | Primary |
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