Organization
TIDEWATER SURGICAL SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY T. RAMIREZ M.D. (CEO)
(757) 483-3030
Entity
Organization
Contact information
Practice address
3205 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5262
(757) 483-3030
(757) 484-7239
Mailing address
3205 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5262
(757) 483-3030
(757) 484-7239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
06/24/2006
Last updated
09/11/2025
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