CANCER SPECIALISTS OF TIDEWATER LTD. NPI 1073521548

NPI Information

CANCER SPECIALISTS OF TIDEWATER, LTD. is a specialist in Chesapeake, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CANCER SPECIALISTS OF TIDEWATER, LTD. NPI is 1073521548. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

110 WIMBLEDON SQ
SUITE E
CHESAPEAKE, VA
ZIP 23320-946
Phone: (757) 436-1492
Fax: (757) 436-2912

The provider's authorized official is Carrie Ann Pernell .
The authorized official title is Office Manager and has the following contact phone number (757) 436-1492.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 4/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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