Beach Ear Nose Throat PC

NPI #1801177639 in Va Beach, Virginia

Provider Information

NPI Number: 1801177639
Entity Type: Organization
Organization Name: Beach Ear Nose Throat PC
Primary Specialty: Otolaryngology
Enumeration Date: Sep 7, 2011
Last Updated: Dec 27, 2012

Practice Location

Address: 1020 INDEPENDENCE BLVD
Address 2: SUITE 313
City: Va Beach
State: Virginia
ZIP Code: 23455
Phone: (757) 464-9165

Authorized Official

Name: WILLIAM SWAIN TEACHEY, MD
Title: PRESIDENT
Phone: (757) 464-9165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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