Individual
ROBERT L SOARES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 SENTARA CIR STE 202, WILLIAMSBURG, VA 23188-5727
(757) 984-9850
(757) 345-6643
Mailing address
500 SENTARA CIR STE 202, WILLIAMSBURG, VA 23188-5727
(757) 984-9850
(757) 345-6643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20486
SC
208600000X
Surgery Physician
Primary
0101263340
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204861
—
SC
Enumeration date
05/04/2006
Last updated
07/10/2020
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