Organization
THOMAS J. HUBBARD, M.D., INC
Active
Other names
Hubbard Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J HUBBARD MD (OWNER)
(757) 687-1900
Entity
Organization
Contact information
Practice address
329 PHILLIP AVE, VIRGINIA BEACH, VA 23454-4380
(757) 687-1900
(757) 687-1895
Mailing address
329 PHILLIP AVE, VIRGINIA BEACH, VA 23454-4380
(757) 687-1900
(757) 687-1895
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101048101
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000236
MEDICARE BEFORE 5/21/08
VA
01
—
440392
BCBS
VA
Enumeration date
11/03/2006
Last updated
11/03/2008
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