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Organization
MID-ATLANTIC WOMENS CARE
Active
Organization
MID-ATLANTIC WOMENS CARE
Active
Parent organization
MID-ATLANTIC WOMENS CARE PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-ATLANTIC WOMENS CARE PLC
Authorized official
DR. SUSAN LONTKOWSKI MD (PRESIDENT)
(757) 253-5600
Entity
Organization
Contact information
Practice address
120 KINGS WAY, SUITE 3400, WILLIAMSBURG, VA 23185-2505
(757) 253-5600
(757) 253-0819
Mailing address
120 KINGS WAY, SUITE 3400, WILLIAMSBURG, VA 23185-2505
(757) 253-5600
(757) 253-0819
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010270405
—
VA
05
—
160001310
—
VA
05
—
6200419
—
VA
05
—
6208819
—
VA
05
—
6208835
—
VA
05
—
6208851
—
VA
05
—
6216544
—
VA
Enumeration date
06/03/2006
Last updated
01/30/2018
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