LONG TERM CARE OF TIDEWATER PC – Internal Medicine Physician, NPI 1033154430
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LONG TERM CARE OF TIDEWATER PC
312, Kingsley Lane, East Haven, Norfolk, Virginia, 23505, United States
NORFOLK, VA 235054618
Phone: (757) 917-5356
Fax: (757) 917-5141
Type: Mailing
Kempsville Circle, Glen Rock, Janaf, Norfolk, Virginia, 23502, United States
NORFOLK, VA 235023933
Phone: (757) 917-5356
Fax: (757) 917-5141
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23505)
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