Organization
SUFFOLK EYE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SAJKO D.O. (PRESDIENT)
(757) 925-1136
Entity
Organization
Contact information
Practice address
2463 PRUDEN BLVD, SUFFOLK, VA 23434
(757) 925-1136
(757) 925-0353
Mailing address
2463 PRUDEN BLVD, SUFFOLK, VA 23434
(757) 925-1136
(757) 925-0353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101054964
VA
174400000X
Specialist
Primary
0102036877
VA
207W00000X
Ophthalmology Physician
0101054964
VA
207W00000X
Ophthalmology Physician
0102036877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6301738
—
VA
05
—
6307108
—
VA
Enumeration date
03/14/2007
Last updated
01/28/2008
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