Individual
MATTHEW S WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(757) 668-9920
(757) 668-9930
Mailing address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(757) 668-9920
(757) 668-9930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001919
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010237190
—
VA
Enumeration date
06/22/2006
Last updated
07/24/2023
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