Organization
PULMONARY CONSULTANTS OF TIDEWATER PC
Active
Organization
PULMONARY CONSULTANTS OF TIDEWATER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN HOWARD KAUFMAN MD (PRESIDENT)
(757) 547-9451
Entity
Organization
Contact information
Practice address
113 GAINSBOROUGH SQ, SUITE 300, CHESAPEAKE, VA 23320-1713
(757) 547-9451
(757) 547-1405
Mailing address
113 GAINSBOROUGH SQ, SUITE 300, CHESAPEAKE, VA 23320-1713
(757) 547-9451
(757) 547-1405
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101031986
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02473
BLUE CROSS AND BLUE SHIEL
NC
01
—
042676
ANTHEM
VA
01
—
149069300
OWCP
VA
05
—
8902473
—
NC
01
—
CA6719
RAILROAD MEDICARE
VA
Enumeration date
01/18/2007
Last updated
02/14/2012
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