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VASCULAR & TRANSPLANT SPECIALISTS PC NPI 1104897636


NPI Information

NPI: 1104897636
Provider Name: VASCULAR & TRANSPLANT SPECIALISTS PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 49D1053182

Address:
397 LITTLE NECK RD
3300 SOUTH BLDG STE 100
VA BEACH, VA
ZIP 23452
Phone: (757) 470-5570
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VASCULAR & TRANSPLANT SPECIALISTS PC is a vascular surgery surgery in Va Beach, VA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR & TRANSPLANT SPECIALISTS PC NPI is 1104897636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

397 LITTLE NECK RD
3300 SOUTH BLDG STE 100
VA BEACH, VA
ZIP 23452
Phone: (757) 470-5570
Fax: (757) 227-3377

The provider's authorized official is Marc H Glickman .
The authorized official title is Managing Director and has the following contact phone number (757) 470-5570.

The CLIA number assigned to this NPI record is 49D1053182 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 11/13/2007.


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
12086S0129XSurgeryVascular SurgeryYes

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
1C01096MEDICARE ID-TYPE UNSPECIFIED
27902897OTHERNC MEDICAID
3CI2484OTHERVIRGINIARAILROAD MEDICARE

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: 5/5/2024

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