Centerwell Senior Primary Care Va Pllc
NPI #1831963842 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1831963842
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care Va Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE VA PLLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 9, 2023
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 1817 FREDERICK BLVD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23707
- Phone
- (757) 695-5181
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Internal Medicine |
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