Organization
GHENT INTERNAL MEDICINE PC
Active
Organization
GHENT INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD S BLUMENTHAL M.D. (OWNER)
(757) 622-6601
Entity
Organization
Contact information
Practice address
400 GRESHAM DR, STE. 205, NORFOLK, VA 23507-1901
(757) 622-6601
(757) 622-8029
Mailing address
400 GRESHAM DR, STE. 205, NORFOLK, VA 23507-1903
(757) 622-6601
(757) 622-8029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101041956
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790770030
ANTHEM
VA
05
—
1790770030
—
VA
01
—
224644020
TRICARE
VA
Enumeration date
06/30/2010
Last updated
03/10/2011
Update your record
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