Tidewater Family Medical Care, Pc in Chesapeake - Family Medicine

Tidewater Family Medical Care, Pc - NPI 1730214248

Tidewater Family Medical Care, Pc is a Family Medicine in Chesapeake, Virginia. Tidewater Family Medical Care, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tidewater Family Medical Care, Pc is 1730214248. The last update date is 2008-07-14.

Tidewater Family Medical Care, Pc's current location address is 516 Innovation Dr, Chesapeake, Virginia. You can contact this provider via phone number 7574950606 and fax number 7574950952. The mailing address for Tidewater Family Medical Care, Pc is 516 Innovation Dr, Chesapeake, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tidewater Family Medical Care, Pc
Address 516 Innovation Dr, Chesapeake, Virginia
Phone Number 7574950606
Fax Number 7574950952
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Piccioni Joseph Frank
Credentials D.O.
Telephone Number 7574950606

NPI Number Detail

NPI Number 1730214248
Provider Enumeration Date 2007-02-23
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 516 Innovation Dr
City Chesapeake
State Virginia (VA)
Post Code 233203847
Phone Number 7574950606
Fax Number 7574950952

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 102037087
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10139414 VA --
131473 VA OPTIMA ID
172725 VA ANTHEM BCBS ID

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FAQs about Tidewater Family Medical Care, Pc

What is the unique provider identifier assigned to Tidewater Family Medical Care, Pc?

The Tidewater Family Medical Care, Pc has been issued the NPI (National Provider Identifier) 1730214248 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Tidewater Family Medical Care, Pc is geographically located?

The Tidewater Family Medical Care, Pc is physically situated at the following location: 516 Innovation Dr, Chesapeake, VA, 233203847.

What is Tidewater Family Medical Care, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tidewater Family Medical Care, Pc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did Tidewater Family Medical Care, Pc receive its 1730214248 assignment from the Centers for Medicare & Medicaid Services?

The Tidewater Family Medical Care, Pc was assigned its 1730214248 on 2007-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Tidewater Family Medical Care, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tidewater Family Medical Care, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-14.

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