Individual
MRS. MARIA TABORA VANDERMEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3432 HOLLAND RD, VIRGINIA BEACH, VA 23452
(757) 468-1855
(540) 972-4590
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(540) 374-0378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101050577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5639425
—
VA
Enumeration date
04/13/2006
Last updated
03/31/2022
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