Organization
SURGICAL SUITES OF COASTAL VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J MASTERSON (PRESIDENT)
(757) 984-8141
Entity
Organization
Contact information
Practice address
400 SENTARA CIR STE 200, WILLIAMSBURG, VA 23188-5716
(757) 345-4140
Mailing address
400 SENTARA CIR STE 200, WILLIAMSBURG, VA 23188-5716
(757) 984-8141
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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