Organization
PORT WARWICK SURGERY, PLLC
Active
Other names
Lianis Z. Bidot MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIANIS ZAHIRA BIDOT MD (OWNER)
(757) 873-0050
Entity
Organization
Contact information
Practice address
11803 JEFFERSON AVE, SUITE 250, NEWPORT NEWS, VA 23606-2565
(757) 873-0050
(757) 873-1448
Mailing address
11803 JEFFERSON AVE, SUITE 250, NEWPORT NEWS, VA 23606-2565
(757) 873-0050
(757) 873-1448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101227888
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302398
—
VA
Enumeration date
03/21/2007
Last updated
01/07/2008
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