Organization
PENINSULA NEUROSURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BERNARD MCADAM M.D. (PRESIDENT)
(757) 838-1844
Entity
Organization
Contact information
Practice address
2102 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 838-1844
(757) 838-4419
Mailing address
2102 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 838-1844
(757) 838-4419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101025890
VA
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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