Individual
SRIE DEWI HUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11803 JEFFERSON AVE STE 100, NEWPORT NEWS, VA 23606-4390
(757) 594-1850
(757) 594-1841
Mailing address
11803 JEFFERSON AVE STE 100, NEWPORT NEWS, VA 23606-4390
(757) 594-1850
(757) 594-1841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101257697
VA
207Q00000X
Family Medicine Physician
0116024367
VA
Other
Enumeration date
05/11/2012
Last updated
01/17/2024
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