Organization
GUY TRENGOVE-JONES, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA DLUBALA (BILLING MANAGER)
(757) 423-2166
Entity
Organization
Contact information
Practice address
100 KINGSLEY LN, SUITE 302, NORFOLK, VA 23505-4604
(757) 423-2166
(757) 423-2285
Mailing address
PO BOX 9375, NORFOLK, VA 23505-0375
(757) 423-2166
(757) 423-2285
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101035886
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006900691
—
VA
01
—
240004633
MEDICARE RAILROAD
—
Enumeration date
09/25/2006
Last updated
10/02/2012
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