Organization
VIRGINIA BEACH AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA COLEN (ADMINISTRATIVE DIRECTOR)
(757) 496-6400
Entity
Organization
Contact information
Practice address
1700 WILL O WISP DR, VIRGINIA BEACH, VA 23454-3164
(757) 496-6400
(757) 496-3137
Mailing address
1700 WILL O WISP DR, VIRGINIA BEACH, VA 23454-3164
(757) 496-6400
(757) 496-3137
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007671008
—
VA
Enumeration date
03/22/2006
Last updated
06/17/2008
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