Organization
FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC
Active
Other names
Fort Norfolk Plaza Cardiology,Inc., Fort Norfolk Plaza Cardiology Associates, Inc., Fort Norfolk Plaza Medical Associates, LLC d/b/a Fort Norfolk Plaza Cardiology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH H NEWBY M.D. (PRESIDENT)
(757) 624-1785
Entity
Organization
Contact information
Practice address
301 RIVERVIEW AVE STE 500, NORFOLK, VA 23510-1066
(757) 624-1785
Mailing address
301 RIVERVIEW AVENUE, SUTIE 500, NORFOLK, VA 23510-1064
(757) 624-1785
(757) 624-1759
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAA103548
GROUP PTAN
—
Enumeration date
06/29/2010
Last updated
06/01/2020
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