Organization
BEACH FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALAN HAASE MD (CHAIRMAN)
(757) 499-9671
Entity
Organization
Contact information
Practice address
1856 COLONIAL MEDICAL COURT, SUITE B, VIRGINIA BEACH, VA 23454-3075
(757) 499-9671
Mailing address
1783 UPPER CHELSEA REACH, VIRGINIA BEACH, VA 23454-1124
(757) 499-9671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101025209
VA
Other
Enumeration date
05/22/2007
Last updated
06/17/2011
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