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Contact Information

MID ATLANTIC LONG TERM CARE SPECIALISTS LLC
6160 KEMPSVILLE CIR STE 325A
NORFOLK, VA23502-3933
 Phone: 757-354-2885
 Fax: 757-917-5141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MID ATLANTIC LONG TERM CARE SPECIALISTS LLC

NPI Number 1083222129
LBN Legal business name MID ATLANTIC LONG TERM CARE SPECIALISTS LLC
Authorized official AMIR HAJIMOMENIAN - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2020
Last updated 09/21/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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