Individual
AGNIESZKA EWA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11848 ROCK LANDING DR STE 402, NEWPORT NEWS, VA 23606-4425
(757) 234-8770
(757) 232-8861
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
045072
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
045072
CT
207RP1001X
Pulmonary Disease Physician
Primary
0101257168
VA
Other
Enumeration date
06/16/2008
Last updated
03/19/2021
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