Organization
CEDRIC D PINCKENS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KARRAS (BILLING SUPERVISOR)
(757) 410-8954
Entity
Organization
Contact information
Practice address
400 GRESHAM DR, STE 503, NORFOLK, VA 23507-1901
(757) 623-7575
Mailing address
400 GRESHAM DR, STE 503, NORFOLK, VA 23507-1901
(757) 623-7575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101050934
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007303874
—
VA
05
—
790578M
—
NC
Enumeration date
06/11/2008
Last updated
07/02/2008
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