Provider Demographics
NPI:1740546134
Name:PARTNERS IN PEDIATRIC CARE, P.C.
Entity type:Organization
Organization Name:PARTNERS IN PEDIATRIC CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:S
Authorized Official - Last Name:DELBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:757-403-1442
Mailing Address - Street 1:324 LOUISA AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4669
Mailing Address - Country:US
Mailing Address - Phone:757-333-7797
Mailing Address - Fax:757-961-9767
Practice Address - Street 1:324 LOUISA AVE STE 118
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4669
Practice Address - Country:US
Practice Address - Phone:757-333-7797
Practice Address - Fax:757-961-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty