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TIDEWATER ENDOCRINE CONSULTANTS PC NPI 1811028152


NPI Information

NPI: 1811028152
Provider Name: TIDEWATER ENDOCRINE CONSULTANTS, PC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
667 KINGSBOROUGH SQ
SUITE 300
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 436-0909
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TIDEWATER ENDOCRINE CONSULTANTS, PC is an endocrinology and diabetes and metabolism internal medicine in Chesapeake, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. TIDEWATER ENDOCRINE CONSULTANTS, PC NPI is 1811028152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

667 KINGSBOROUGH SQ
SUITE 300
CHESAPEAKE, VA
ZIP 23320-999
Phone: (757) 436-0909
Fax: (757) 436-0168

The provider's authorized official is Dwight Fitzgerald Matthias .
The authorized official title is President and has the following contact phone number (757) 436-0909.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism0101229098VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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