Tidewater Pediatrics, P.c.
NPI #1134685050 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1134685050
- Entity Type
- Organization
- Organization Name
- Tidewater Pediatrics, P.c.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Feb 15, 2019
- Last Updated
- Feb 15, 2019
Practice Location
- Address
- 301 GOODE WAY STE 203
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-2266
- Phone
- (757) 399-5300
Authorized Official
- Name
- DR. LAARNI SERQUINA BIBAY
- Title
- PRESIDENT
- Phone
- (757) 399-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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