Organization
TIDEWATER PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY TISCHLER DPM (PRESIDENT)
(757) 481-6248
Entity
Organization
Contact information
Practice address
996 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3175
(757) 481-6248
(757) 481-6523
Mailing address
996 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3175
(757) 481-6248
(757) 481-6523
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
VA
Other
Enumeration date
07/14/2009
Last updated
07/21/2022
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