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Organization
ORTHOPAEDIC SURGERY CENTERS, PC II
Active
Organization
ORTHOPAEDIC SURGERY CENTERS, PC II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A. COLOGGI (BUSINESS OFFICE MANAGER)
(757) 397-9015
Entity
Organization
Contact information
Practice address
2012 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-1477
(757) 539-5735
Mailing address
PO BOX 7848, PORTSMOUTH, VA 23707-0848
(757) 398-0779
(757) 398-0030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191954
BCBS PT PROVIDER NUMBER
VA
01
—
191955
BCBS OT PROVIDER NUMBER
VA
Enumeration date
10/24/2006
Last updated
03/17/2008
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