Organization
BEACHTOWN HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND IGLECIA JR. M.D. (OWNER)
(757) 460-7189
Entity
Organization
Contact information
Practice address
3750 CHESTERFIELD AVE, VIRGINIA BEACH, VA 23455-2940
(757) 460-7189
Mailing address
3750 CHESTERFIELD AVE, VIRGINIA BEACH, VA 23455-2940
(757) 460-7189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057390
VA
208D00000X
General Practice Physician
0101057390
VA
Other
Enumeration date
09/02/2009
Last updated
07/07/2010
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