FIRST COLONIAL UROLOGICAL ASS NPI 1881702058

NPI Information

  • NPI: 1881702058
  • Provider Name: FIRST COLONIAL UROLOGICAL ASS
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 4501 B WITCHDUCK RD
    VA BEACH, VA
    ZIP 23455
  • Phone: (757) 499-4932

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NPI Details

FIRST COLONIAL UROLOGICAL ASS is an urology in Va Beach, VA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FIRST COLONIAL UROLOGICAL ASS NPI is 1881702058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4501 B WITCHDUCK RD
VA BEACH, VA
ZIP 23455
Phone: (757) 499-4932
Fax: (757) 490-6693

The provider's authorized official is Charles Stanley Davis .
The authorized official title is President Of Corp and has the following contact phone number (757) 499-4932.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 2/20/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology0101018138VIRGINIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D73319MEDICARE UPIN
20415780001MEDICARE NSC
37535902MEDICAIDVIRGINIA
4016603OTHERVIRGINIABC

What is NPI?

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This page was last updated on: 11/21/2025

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