Organization
LITTLE NECK MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIQ HASAN (PRESIDENT)
(757) 831-5349
Entity
Organization
Contact information
Practice address
3500 VIRGINIA BEACH BLVD, SUITE 100, VIRGINIA BEACH, VA 23452-4445
(757) 831-5349
Mailing address
3500 VIRGINIA BEACH BLVD, SUITE 100, VIRGINIA BEACH, VA 23452-4445
(757) 831-5349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101245150
VA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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