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Individual

CHARLES E UMSTOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 J CLYDE MORRIS BLVD, SUITE 602, NEWPORT NEWS, VA 23601-1929
(757) 534-5511
(757) 534-5515
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101016545
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033140322
VA
Enumeration date
07/05/2006
Last updated
05/17/2011
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