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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