Organization
CHESAPEAKE REGIONAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY IULIANO (BILLING MANAGER)
(757) 842-4481
Entity
Organization
Contact information
Practice address
113 GAINSBOROUGH SQ STE 400, CHESAPEAKE, VA 23320-1714
(757) 842-4499
Mailing address
1301 EXECUTIVE BLVD STE 200, CHESAPEAKE, VA 23320-3671
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VX0000X
Obstetrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
04/24/2008
Last updated
02/26/2026
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