# BEACHTOWN HEALTH CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124251491
- **Authorized official:** DR. RAYMOND IGLECIA JR. M.D. (OWNER)
- **Authorized official phone:** (757) 460-7189

## Contact information

- **Practice address:** 3750 CHESTERFIELD AVE, VIRGINIA BEACH, VA 23455-2940
- **Practice address phone:** (757) 460-7189
- **Mailing address:** 3750 CHESTERFIELD AVE, VIRGINIA BEACH, VA 23455-2940
- **Mailing address phone:** (757) 460-7189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101057390 | VA | Yes |
| 208D00000X | General Practice Physician | 0101057390 | VA | — |

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 07/07/2010