Middle Peninsula Medical Center INC

NPI #1275085599 in Mathews, Virginia

Provider Information

NPI Number: 1275085599
Entity Type: Organization
Organization Name: Middle Peninsula Medical Center INC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 3, 2016
Last Updated: Nov 4, 2016

Practice Location

Address: 9184 BUCKLEY HALL RD
City: Mathews
State: Virginia
ZIP Code: 23109-2309
Phone: (804) 725-0100

Authorized Official

Name: THOMAS L. WATHEN
Title: VICE PRESIDENT
Phone: (804) 384-7902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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