Organization
TIDEWATER PODIATRY GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY TISCHLER DPM (PRESIDENT)
(757) 481-6248
Entity
Organization
Contact information
Practice address
6161 KEMPSVILLE CIR, STE 230, NORFOLK, VA 23502-3932
(757) 481-6248
Mailing address
6161 KEMPSVILLE CIR, STE 230, NORFOLK, VA 23502-3932
(757) 481-6248
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
VA
Other
Enumeration date
05/30/2007
Last updated
11/07/2013
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