Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Hospital Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
2300 OPITZ BLVD, STE G-209, WOODBRIDGE, VA 22191-3311
(703) 523-0611
(703) 670-2089
Mailing address
2300 OPITZ BLVD, STE G-209, WOODBRIDGE, VA 22191-3311
(703) 523-0611
(703) 670-2089
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
05/05/2014
Last updated
05/05/2014
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