Individual
DR. JEREMIAH K O'SHEA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 COLISEUM DR, EMERGENCY DEPARTMENT, HAMPTON, VA 23666-5963
(757) 599-4922
Mailing address
11828 CANON BLVD, SUITE E, NEWPORT NEWS, VA 23606-2554
(757) 599-4922
(757) 599-4927
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101236033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971187
—
PA
Enumeration date
06/06/2006
Last updated
07/08/2007
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