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111 Bulifants Blvd Suite B Williamsburg VA 23188-5711 | |
(757) 221-0006 | |
(757) 253-9418 |
Full Name | |
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Speciality | Family Medicine |
Location | 111 Bulifants Blvd, Williamsburg, Virginia |
Authorized Official Name and Position | Michael J Doucette (VICE PRESIDENT) |
Authorized Official Contact | 7575944006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | 111 Bulifants Blvd Suite B Williamsburg VA 23188-5711 Ph: (757) 221-0006 |
NPI Number | 1407872963 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1407872963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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