Organization
HEADACHE INSTITUTE OF TIDEWATER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL L PUGACH M.D. (PHYSICIAN)
(757) 368-1891
Entity
Organization
Contact information
Practice address
780 LYNNHAVEN PKWY, SUITE 285, VIRGINIA BEACH, VA 23452-7332
(757) 368-1891
(757) 368-4041
Mailing address
780 LYNNHAVEN PKWY, SUITE 285, VIRGINIA BEACH, VA 23452-7332
(757) 368-1891
(757) 368-4041
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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