Individual
GREGORY J WARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-8000
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005801249
—
VA
01
—
27072
SENTARA
VA
01
—
282135
MDIPA
VA
01
—
437515
ANTHEM
VA
01
—
541595397
AETNA
VA
Enumeration date
07/11/2006
Last updated
04/21/2009
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