Organization
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
Active
Other names
TPMG-Williamsburg Procedure Suite, TPMG Newport News Procedure Suite
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA C QUINTERO (CREDENTIALING MANAGER)
(757) 964-8739
Entity
Organization
Contact information
Practice address
5424 DISCOVERY PARK BOULEVARD BUILDING A, SUITE 101, BUILDING A, SUITE 101, WILLIAMSBURG, VA 23322
(757) 707-3505
Mailing address
860 OMNI BLVD STE 128, NEWPORT NEWS, VA 23606-4483
(757) 232-8769
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
06/11/2025
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