Individual
JORDAN GOLDWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101281381
VA
Other
Enumeration date
03/19/2019
Last updated
11/19/2024
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