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Organization

PEDIATRIC CONSULTANTS OF HAMPTON ROADS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIEN L VANDEN HOEK MD (PARTNER)
(757) 875-9700
Entity
Organization

Contact information

Practice address
1405 KILN CREEK PKWY, STE E, NEWPORT NEWS, VA 23602-9700
(757) 875-9700
(757) 875-1028
Mailing address
1405 KILN CREEK PKWY, STE E, NEWPORT NEWS, VA 23602-9700
(757) 875-9700
(757) 875-1028

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101046667
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6700047
VA
05
6700136
VA
Enumeration date
10/01/2006
Last updated
08/22/2020
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