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Organization

NEUROLOGICAL CONSULTANTS OF VIRGINIA BEACH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SIDNEY MALLENBAUM MD (PRESIDENT)
(757) 481-1444
Entity
Organization

Contact information

Practice address
1008 FIRST COLONIAL RD, #101, VIRGINIA BEACH, VT 23454
(757) 481-1444
(757) 481-1377
Mailing address
1008 FIRST COLONIAL RD, #101, VIRGINIA BEACH, VT 23454
(757) 481-1444
(757) 481-1377

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI7248
RAILROAD MEDICARE
VA
Enumeration date
11/17/2006
Last updated
05/27/2008
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