Organization
BAYVIEW PHYSICIAN SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVID FORMAN (DIRECTOR)
(757) 923-9604
Entity
Organization
Contact information
Practice address
1168 FIRST COLONIAL RD STE 301, VIRGINIA BEACH, VA 23454-2444
(757) 481-0898
(757) 481-2563
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0103000798
VA
Other
Enumeration date
12/15/2010
Last updated
10/07/2025
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