Organization
LUNG SPECIALIST OF WILLIAMSBURG PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY SUBRAMANIAM MD (PRESIDENT)
(757) 707-3999
Entity
Organization
Contact information
Practice address
121 BULIFANTS BLVD, SUITE A, WILLIAMSBURG, VA 23188-5736
(757) 707-3999
(757) 707-3993
Mailing address
121 BULIFANTS BLVD, SUITE A, WILLIAMSBURG, VA 23188-5736
(757) 707-3999
(757) 707-3993
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101246032
VA
Other
Enumeration date
07/27/2013
Last updated
08/09/2013
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