Colon Rectal Surgery of Tidewater, PC
Colon Rectal Surgery of Tidewater, PC is a Colon & Rectal Surgery Physician in Portsmouth, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3235 Academy Ave Ste 100Portsmouth, VA 23703-3200
Phone: (757) 484-9653
Fax: (757) 484-9662
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Colon & Rectal Surgery Physician (primary) | Taxonomy 208C00000X · Licence 0101031444 (VA) |
|---|
Record details
| NPI number | 1790794022 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Wolf — President · (757) 484-9653 |
| NPI enumerated | August 5, 2006 |
| Last updated in NPPES | September 14, 2011 |
| Mailing address | 3235 Academy Ave, Suite 100, Portsmouth, VA 23703-3200 |
Other providers in Portsmouth
-
Dr. Paul Albert Lucha Jr., DO
620 John Paul Jones Cir, Portsmouth, VA 23708-2197 · (757) 953-2464
-
Mercy Danielle Wagner, MD
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 · (757) 953-5254
-
Dr. Jeffrey Stephen Wolf, MD
3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 · (757) 484-9653