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Organization
TIDEWATER FAMILY MEDICAL CARE, PC
Active
Organization
TIDEWATER FAMILY MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK JOSEPH PICCIONI D.O. (PRESIDENT)
(757) 495-0606
Entity
Organization
Contact information
Practice address
516 INNOVATION DR, STE 103, CHESAPEAKE, VA 23320-3847
(757) 495-0606
Mailing address
516 INNOVATION DR, STE. 103, CHESAPEAKE, VA 23320-3847
(757) 495-0606
(757) 495-0952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102037087
VA
Other
Enumeration date
02/23/2007
Last updated
07/14/2008
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