TIDEWATER PODIATRY GROUP is a foot and ankle surgery podiatrist in Virginia Beach, VA. TIDEWATER PODIATRY GROUP NPI is 1043449846. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
996 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454-175
Phone: (757) 481-6248
Fax: (757) 481-6523
The provider's authorized official is Jay Tischler .
The authorized official title is President and has the following contact phone number (757) 481-6248.
The enumeration date for this NPI number is 7/14/2009 and was last updated on 5/15/2013.