Individual
DR. NIKOLCHE J NAUMOVSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 COMMERCIAL LN, WESTERN TIDWATER COMMUNITY SERVICES BOARD, SUFFOLK, VA 23434-8148
(757) 942-1025
(757) 925-2218
Mailing address
1000 COMMERCIAL LN, WESTERN TIDWATER COMMUNITY SERVICES BOARD, SUFFOLK, VA 23434-8148
(757) 942-1025
(757) 925-2218
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101048463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244565
TRIGON BCBS/HEALTHKEEPERS
VA
05
—
7106009
—
VA
05
—
7106025
—
VA
Enumeration date
09/08/2005
Last updated
07/09/2007
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