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Organization
BEACH MEDICAL GROUP PC
Active
Organization
BEACH MEDICAL GROUP PC
Active
Other names
Total Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN TODESCA (MEDICAL BILLER)
(757) 363-8571
Entity
Organization
Contact information
Practice address
1801 PLEASUREHOUSE RD, #105, VIRGINIA BEACH, VA 23455
(757) 363-8571
(757) 363-8239
Mailing address
1801 PLEASUREHOUSE ROAD, #105, VIRGINIA BEACH, VA 23455
(757) 363-8571
(757) 363-8239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001533
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0104001533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118947
ANTHEM BLUE CROSS
—
Enumeration date
12/26/2007
Last updated
12/01/2010
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