Tidewater Skin Care and Pathology PC
NPI #1215269097 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1215269097
- Entity Type
- Organization
- Organization Name
- Tidewater Skin Care and Pathology PC
- Primary Specialty
- Dermatology
- Enumeration Date
- Feb 4, 2010
- Last Updated
- Dec 20, 2010
Practice Location
- Address
- 1157 FIRST COLONIAL RD
- Address 2
- SUITE 300
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-2432
- Phone
- (757) 333-8001
Authorized Official
- Name
- PADMAN A MENON, MD
- Title
- PRESIDENT
- Phone
- (757) 825-1846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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