Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLON RECTAL SURGERY OF TIDEWATER, P.C.
Active OrganizationCOLON RECTAL SURGERY OF TIDEWATER, P.C. is a Colon & Rectal Surgery organization located in PORTSMOUTH, Virginia. NPI 1790794022 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · PORTSMOUTH, VA
Registration Details
- NPI Number
- 1790794022
- Provider Type
- Organization
- NPI Issued
- Aug 5, 2006 (20.052508264592 yrs)
- Last Updated
- Sep 14, 2011
- License
-
0101031444 (VA)
Practice Information
- Address
-
3235 ACADEMY AVESUITE 100PORTSMOUTH, VA, 237033200Browse VA providers · Browse ZIP 23703
- Phone
- 7574849653
- Fax
- 7574849662
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.