| Thomas L. Mauser, Inc. | |
|
109 Wimbledon Sq Suite B Chesapeake VA 23320-4945 | |
| (757) 547-4780 | |
| Not Available |
| Full Name | Thomas L. Mauser, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 109 Wimbledon Sq, Chesapeake, Virginia |
| Authorized Official Name and Position | Thomas Mauser (OWNER) |
| Authorized Official Contact | 7575474780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas L. Mauser, Inc. 109 Wimbledon Sq Suite B Chesapeake VA 23320-4945 Ph: (757) 547-4780 | Thomas L. Mauser, Inc. 109 Wimbledon Sq Suite B Chesapeake VA 23320-4945 Ph: (757) 547-4780 |
| NPI Number | 1588844930 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/13/2007 |
| Medicare PECOS PAC ID | 0547217564 |
|---|---|
| Medicare Enrollment ID | O20050401000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588844930 | NPI | - | NPPES |
| 58-3263-2 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102049847 (Virginia) | Primary |
| Provider Name | Thomas L Mauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376568113 PECOS PAC ID: 8628025640 Enrollment ID: I20100901000956 |
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