Organization
HAMPTON ROADS PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIONEL NEWMAN JACOB MD (PRESIDENT)
(757) 312-8121
Entity
Organization
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE GENERAL HOSPITAL, CHESAPEAKE, VA 23320-4906
(757) 312-8121
Mailing address
PO BOX 1295, BLUEFIELD, WV 24701-1295
(304) 323-4320
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179J
BCBS NC
NC
05
—
890179J
—
NC
01
—
C03497
RAILROAD MEDICARE
—
Enumeration date
04/28/2006
Last updated
11/21/2017
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