Organization
NEW ERA VISITING PHYSICIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS G DEMOZ MD (MEDICAL DIRECTOR)
(804) 264-0494
Entity
Organization
Contact information
Practice address
8736 LANDMARK RD, RICHMOND, VA 23228-2802
(804) 264-0494
(804) 264-0495
Mailing address
8736 LANDMARK RD, RICHMOND, VA 23228-2802
(804) 264-0494
(804) 264-0495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235406
VA
Other
Enumeration date
07/04/2006
Last updated
10/16/2007
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