Individual
DR. EDUARDO Y HERNANDEZ VERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
11020 HULL STREET RD, MIDLOTHIAN, VA 23112-3200
(804) 744-6310
Mailing address
4612 VALLEY OVERLOOK DR APT 105, MIDLOTHIAN, VA 23112-8662
(787) 507-2832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101265330
VA
207Q00000X
Family Medicine Physician
0116029855
VA
Other
Enumeration date
05/02/2016
Last updated
09/13/2018
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