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Organization
COASTAL ANESTHESIA ., INC
Active
Organization
COASTAL ANESTHESIA ., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WERBIN CRNA (PRESIDENT/OWNER)
(757) 460-0249
Entity
Organization
Contact information
Practice address
3884 JEFFERSON BLVD, VIRGINIA BEACH, VA 23455-1606
(757) 460-0249
(757) 460-0249
Mailing address
3884 JEFFERSON BLVD, VIRGINIA BEACH, VA 23455-1606
(757) 460-0249
(757) 460-0249
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0001090514
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196663
ANTHEM
VA
01
—
DF0637
RAILROAD
VA
01
—
P00335734
RAILROAD
VA
Enumeration date
12/06/2007
Last updated
04/22/2008
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