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Organization

ORTHOPAEDIC SURGERY CENTERS, PC II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA C DONAFRIO (BUSINESS OFFICE MANAGER)
(757) 397-9015
Entity
Organization

Contact information

Practice address
3300 HIGH ST, SUITE 1, PORTSMOUTH, VA 23707-3321
(757) 397-0783
(757) 397-0236
Mailing address
3300 HIGH ST, SUITE 1, PORTSMOUTH, VA 23707-3321
(757) 397-0783
(757) 397-0236

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150434301
DEPT OF LABOR
VA
01
191956
BCBS OT PROVIDER NUMBER
VA
01
191957
BCBS PT PROVIDER NUMBER
VA
Enumeration date
10/24/2006
Last updated
08/20/2009
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