Organization
SURGICAL SPECIALTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD H HARRIS III M.D. (PRESIDENT)
(757) 539-9005
Entity
Organization
Contact information
Practice address
2790 GODWIN BLVD, SUITE 225, SUFFOLK, VA 23434-8151
(757) 539-9005
(757) 934-8438
Mailing address
2790 GODWIN BLVD, SUITE 225, SUFFOLK, VA 23434-8151
(757) 539-9005
(757) 934-8438
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28788
SENTARA/OPTIMA
VA
01
—
288409
BCBS
VA
Enumeration date
07/18/2007
Last updated
04/20/2008
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