Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Surgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
2280 OPITZ BLVD, STE 320, WOODBRIDGE, VA 22191-3362
(703) 523-9750
(855) 210-2388
Mailing address
2280 OPITZ BLVD, STE 320, WOODBRIDGE, VA 22191-3362
(703) 523-9750
(855) 210-2388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
09/15/2011
Last updated
02/23/2015
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