| Williamsburg Endocrinology Inc | |
|
207 Bulifants Blvd Ste D Williamsburg VA 23188-5732 | |
| (757) 565-9586 | |
| (757) 565-9588 |
| Full Name | Williamsburg Endocrinology Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 207 Bulifants Blvd Ste D, Williamsburg, Virginia |
| Authorized Official Name and Position | Katherine A Roberts (PRESIDENT) |
| Authorized Official Contact | 7575659586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Endocrinology Inc 207 Bulifants Blvd Ste D Williamsburg VA 23188-5732 Ph: (757) 565-9586 | Williamsburg Endocrinology Inc 207 Bulifants Blvd Ste D Williamsburg VA 23188-5732 Ph: (757) 565-9586 |
| NPI Number | 1700808359 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 10/01/2020 |
| Medicare PECOS PAC ID | 0840386702 |
|---|---|
| Medicare Enrollment ID | O20071023000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700808359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 0101059029 (Virginia) | Primary |
| Provider Name | Katherine A Roberts |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437348851 PECOS PAC ID: 8921194887 Enrollment ID: I20100728001244 |
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