Provider First Line Business Practice Location Address:
601 CHILDRENS LANE
Provider Second Line Business Practice Location Address:
CHILDRENS SURGICAL SPECIALTY GROUP INC
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-668-7878
Provider Business Practice Location Address Fax Number:
757-668-7883
Provider Enumeration Date:
07/31/2006