# PENINUSLA EMERGENCY PHYSICIAN

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

## Provider details

- **NPI number:** 1376890020
- **Authorized official:** CHRISTOPHER BAKER M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (757) 599-4922

## Contact information

- **Practice address:** 3000 COLISEUM DR, HAMPTON, VA 23666-5963
- **Practice address phone:** (757) 736-2008
- **Mailing address:** 11828 CANON BLVD STE E, NEWPORT NEWS, VA 23606-2554
- **Mailing address phone:** (757) 599-4922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | F0712694 | VA | Yes |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 08/13/2012