Tad Edward Grenga in Suffolk - Plastic Surgery
Tad Edward Grenga - NPI 1124009253
Tad Edward Grenga is a Plastic Surgery in Suffolk, Virginia. Tad Edward Grenga practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Tad Edward Grenga is 1124009253. The last update date is 2017-01-06.
Tad Edward Grenga's current location address is 5818 Harbour View Blvd, Suffolk, Virginia. You can contact this provider via phone number 7576735900 and fax number 7576735905. The mailing address for Tad Edward Grenga is 5818 Harbour View Blvd, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tad Edward Grenga |
|---|---|
| Address | 5818 Harbour View Blvd, Suffolk, Virginia |
| Phone Number | 7576735900 |
| Fax Number | 7576735905 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124009253 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2017-01-06 |
Provider Mailing Address Detail
| Address | 5818 Harbour View Blvd |
|---|---|
| City | Suffolk |
| State | Virginia (VA) |
| Post Code | 234353315 |
| Phone Number | 7576735900 |
| Fax Number | 7576735905 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 101041085 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6901395 | VA | -- | |
| 118152 | VA | ANTHEM | |
| 410829 | VA | MAMSI | |
| 15906 | VA | SENTARA/OPTIMA |
Post Comment/ Review Below
What is the Tad Edward Grenga's 1124009253?
The Tad Edward Grenga's NPI (National Provider Identifier) Number is 1124009253. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tad Edward Grenga's physical address?
The Tad Edward Grenga is physically located at 5818 Harbour View Blvd, in the city of Suffolk, VA, with the postal code 234353315.
What is the area of specialization for Tad Edward Grenga, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tad Edward Grenga is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.
On what date did Tad Edward Grenga receive its 1124009253 assignment from the Centers for Medicare & Medicaid Services?
The Tad Edward Grenga was assigned its 1124009253 on 2005-11-07, 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 Tad Edward Grenga, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tad Edward Grenga, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-01-06.