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Organization
HEMATOLOGY ONCOLOGY ASSOCIATES OF TIDE WATER PC
Active
Organization
HEMATOLOGY ONCOLOGY ASSOCIATES OF TIDE WATER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUNDAR RAJAN MD (PRESIDENT OF CORPORATION)
(757) 436-3266
Entity
Organization
Contact information
Practice address
1015 B EDENWAY NORTH, CHESAPEAKE, VA 23320
(757) 436-3266
(757) 548-0712
Mailing address
1015 B EDENWAY NORTH, CHESAPEAKE, VA 23320
(757) 436-3266
(757) 548-0712
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101043759
VA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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