Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Internal Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
2280 OPITZ BLVD, STE 250, WOODBRIDGE, VA 22191-3362
(703) 523-1720
(855) 210-2389
Mailing address
2280 OPITZ BLVD, STE 250, WOODBRIDGE, VA 22191-3362
(703) 523-1720
(855) 210-2389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
12/02/2011
Last updated
03/17/2016
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