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Organization

SENTARA MEDICAL GROUP

Active
Other names
Sentara Vascular Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization

Contact information

Practice address
397 LITTLE NECK RD, STE 120, VIRGINIA BEACH, VA 23452-5765
(757) 395-1600
(757) 961-9359
Mailing address
397 LITTLE NECK RD, STE 120, VIRGINIA BEACH, VA 23452-5765
(757) 395-1600
(757) 961-9359

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
11/29/2007
Last updated
05/01/2017
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