Organization
ANESTHESIA SPECIALISTS, PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE J. WOOD-SABO (PRACTICE ADMINISTRATOR)
(757) 567-8832
Entity
Organization
Contact information
Practice address
300 E MAIN ST STE 1300, NORFOLK, VA 23510-1756
(757) 388-3000
Mailing address
PO BOX 79446, BALTIMORE, MD 21279-0446
(757) 567-8832
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
168544-R
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013910330
—
VA
Enumeration date
05/31/2005
Last updated
08/18/2023
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