Organization
MED MGT ASSOCIATES OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A BOSKIND (CEO-OWNER)
(210) 224-2106
Entity
Organization
Contact information
Practice address
688 KINGSBOROUGH SQ, CHESAPEAKE, VA 23320-4908
(757) 547-9111
Mailing address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101265222
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101265222
LICENSE
VA
Enumeration date
08/21/2018
Last updated
12/11/2018
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