Organization
NMCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JASON SILVESTRI (RESIDENT, ANESTHESIOLOGY)
(910) 389-4530
Entity
Organization
Contact information
Practice address
6200 JOHN PAUL JONE BLVD, PORTSMOUTH, VA 23704
(757) 953-3270
Mailing address
4633 MALLARD CRES, PORTSMOUTH, VA 23703-2240
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
02002808A
IN
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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