Individual
MR. JONATHAN MORETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 LAKE JAMES DR, SUITE 200, VIRGINIA BEACH, VA 23464-6780
(757) 523-0022
(888) 411-0570
Mailing address
1201 LAKE JAMES DR, SUITE 200, VIRGINIA BEACH, VA 23464-6780
(757) 523-0022
(888) 411-0570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258111
VA
Other
Enumeration date
04/11/2013
Last updated
08/26/2016
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