Organization
TIDEWATERHEALTH360 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CORPIN CAJES MD (PRESIDENT)
(757) 376-8460
Entity
Organization
Contact information
Practice address
1081 KEMPSVILLE RD, CHESAPEAKE, VA 23320-8126
(757) 376-8460
Mailing address
324 SAGE RD, VIRGINIA BEACH, VA 23456-4419
(757) 376-8460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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