Organization
HAROLD E CLOUD JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD E CLOUD JR. MD (MEDICAL DOCTOR)
(757) 825-1500
Entity
Organization
Contact information
Practice address
2726 W MERCURY BLVD, HAMPTON, VA 23666-3100
(757) 825-1500
(757) 825-1699
Mailing address
2726 W MERCURY BLVD, HAMPTON, VA 23666-3100
(757) 825-1500
(757) 825-1699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052875
BCBS
—
01
—
080002395
MEDICARE
—
01
—
51006
SENTARA
—
Enumeration date
01/14/2011
Last updated
12/14/2012
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