Organization
PENINSULA WILLIAMSBURG CARDIOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA CLAY DODD (OFFICE MANAGER)
(757) 875-5332
Entity
Organization
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 201, NEWPORT NEWS, VA 23602-4414
(757) 875-5332
(787) 874-1545
Mailing address
12720 MCMANUS BLVD, SUITE 201, NEWPORT NEWS, VA 23602-4414
(757) 875-5332
(787) 874-1545
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101036628
VA
Other
Enumeration date
03/01/2007
Last updated
06/06/2008
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