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Organization

FIRST MED OF WILLIAMSBURG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD ANTHONY CAMPANA SR. M.D. (PRESIDENT)
(757) 229-4141
Entity
Organization

Contact information

Practice address
312 2ND ST, WILLIAMSBURG, VA 23185-4528
(757) 229-4141
Mailing address
312 2ND ST, WILLIAMSBURG, VA 23185-4528
(757) 229-4141

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101035546
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004203
ANTHEM PROVIDER NUMBER
VA
Enumeration date
06/05/2008
Last updated
09/17/2014
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