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Organization
CHESAPEAKE BAY PAIN MEDICINE, P.C.
Active
Organization
CHESAPEAKE BAY PAIN MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD GAUTHIER M.D. (PRESIDENT)
(757) 464-2006
Entity
Organization
Contact information
Practice address
329 EDWIN DR, SUITE 100, VIRGINIA BEACH, VA 23462-4522
(757) 464-2006
(757) 464-2226
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
(757) 340-3489
(757) 340-4278
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
07/27/2021
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