| East Beach Medical Associates | |
|
4241 E Little Creek Rd Norfolk VA 23518-3546 | |
| (757) 738-1200 | |
| (757) 480-3208 |
| Full Name | East Beach Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 4241 E Little Creek Rd, Norfolk, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Beach Medical Associates 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | East Beach Medical Associates 4241 E Little Creek Rd Norfolk VA 23518-3546 Ph: (757) 738-1200 |
| NPI Number | 1396172219 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 05/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396172219 | NPI | - | NPPES |
| C06209 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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