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12420 Warwick Blvd Suite 4c Newport News VA 23606-3001 | |
| (757) 596-7115 | |
| (757) 596-7127 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 12420 Warwick Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Braden Miller (CFO) |
| Authorized Official Contact | 7573165900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 316-5960 | 12420 Warwick Blvd Suite 4c Newport News VA 23606-3001 Ph: (757) 596-7115 |
| NPI Number | 1255759429 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255759429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |