| Ghent Internal Medicine Pc | |
|
400 Gresham Dr Ste. 205 Norfolk VA 23507-1901 | |
| (757) 622-6601 | |
| (757) 622-8029 |
| Full Name | Ghent Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Gresham Dr, Norfolk, Virginia |
| Authorized Official Name and Position | Harold S Blumenthal (OWNER) |
| Authorized Official Contact | 7576226601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghent Internal Medicine Pc 400 Gresham Dr Ste. 205 Norfolk VA 23507-1903 Ph: (757) 622-6601 | Ghent Internal Medicine Pc 400 Gresham Dr Ste. 205 Norfolk VA 23507-1901 Ph: (757) 622-6601 |
| NPI Number | 1346551736 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346551736 | NPI | - | NPPES |
| 1790770030 | Medicaid | VA | |
| 224644020 | Other | VA | TRICARE |
| 1790770030 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101041956 (Virginia) | Primary |
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