Individual
GEORGE N VRETAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
138 S ROSEMONT RD, STE 215, VIRGINIA BEACH, VA 23452-4336
(757) 431-9551
(757) 431-9663
Mailing address
138 S ROSEMONT RD, STE 215, VIRGINIA BEACH, VA 23452-4336
(757) 431-9551
(757) 431-9663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101047907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500N
BLUECROSS/BLUESHIELD NC
NC
01
—
092861
ANTHEM BC/BS OF VA
VA
01
—
15565
OPTIMA/SENTARA
VA
05
—
890500N
—
NC
01
—
CJ0275
MEDICARE RAIL ROAD
VA
Enumeration date
05/24/2005
Last updated
01/30/2008
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