Chesapeake Bay Ent PC

NPI #1013106541 in Belle Haven, Virginia

Provider Information

NPI Number: 1013106541
Entity Type: Organization
Organization Name: Chesapeake Bay Ent PC
Primary Specialty: Specialist
Enumeration Date: Oct 22, 2007
Last Updated: Jan 28, 2014

Practice Location

Address: 36080 LANKFORD HWY
City: Belle Haven
State: Virginia
ZIP Code: 23306-0000
Phone: (757) 442-7040

Authorized Official

Name: MRS. DETRA RENEE SAFFOLD
Title: REGIONAL PRACTICE ADMINISTRATOR
Phone: (757) 442-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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