Organization
BEACH MEDICAL GROUP PC
Active
Other names
Total Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN TODESCA (MEDICAL BILLER)
(757) 363-8571
Entity
Organization
Contact information
Practice address
1801 PLEASUREHOUSE RD, #105, VIRGINIA BEACH, VA 23455
(757) 363-8571
(757) 363-8239
Mailing address
1801 PLEASUREHOUSE ROAD, #105, VIRGINIA BEACH, VA 23455
(757) 363-8571
(757) 363-8239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001533
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0104001533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118947
ANTHEM BLUE CROSS
—
Enumeration date
12/26/2007
Last updated
12/01/2010
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