Organization
JORGE A. NARANJO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A. NARANJO M.D. (PRESIDENT)
(757) 654-6545
Entity
Organization
Contact information
Practice address
18141 WOODLAND PARK DR, BOYKINS, VA 23827-0365
(757) 654-6545
(757) 654-6176
Mailing address
PO BOX 365, BOYKINS, VA 23827-0365
(757) 654-6545
(757) 654-6176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101016682
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000323053
VIRGINIA
VA
05
—
005614635
—
VA
01
—
1942304175
NPI, INDIVIDUAL
VA
Enumeration date
08/28/2009
Last updated
08/28/2009
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