Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Endocrinology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
5800 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
(703) 670-0067
(703) 670-0301
Mailing address
5800 MAPLEDALE PLZ, WOODBRIDGE, VA 22193-4535
(703) 670-0067
(703) 670-0301
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
09/28/2011
Last updated
09/29/2011
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