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Organization

BAYVIEW PHYSICIAN SERVICES, PC

Active
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Organization

BAYVIEW PHYSICIAN SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY DAVID FORMAN (DIRECTOR)
(757) 923-9604
Entity
Organization

Contact information

Practice address
6025 PROVIDENCE RD, VIRGINIA BEACH, VA 23464-3808
(757) 474-7447
(757) 474-7477
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0101237726
VA

Other

Enumeration date
11/16/2011
Last updated
10/07/2025
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