Organization
COASTAL PRIME CARE MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN P LEE M.D. (OWNER)
(757) 310-6834
Entity
Organization
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6000
Mailing address
230 NAT TURNER BLVD S, #2006, NEWPORT NEWS, VA 23606-2899
(757) 310-6834
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101240950
VA
Other
Enumeration date
05/23/2007
Last updated
11/29/2007
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