Organization
COLONIAL OB-GYN ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS A SHWAYDER (ADMINISTRATOR)
(757) 874-2790
Entity
Organization
Contact information
Practice address
716 DENBIGH BLVD, SUITE E-2, NEWPORT NEWS, VA 23608-4414
(757) 874-2795
(757) 874-6758
Mailing address
716 DENBIGH BLVD, SUITE E-2, NEWPORT NEWS, VA 23608-4414
(757) 874-2790
(757) 874-6758
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101030251
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912970302
NPI NUMBER
VA
05
—
6232019
—
VA
Enumeration date
10/24/2006
Last updated
07/29/2013
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