Bruce Ira Tetalman
Pain Medicine
716 Thimble Shoals Blvd Suite A
Newport News
, Virginia 23606-4545
Bruce Ira Tetalman
Pain Medicine
716 Thimble Shoals Blvd Suite A
Newport News
, Virginia 23606-4545
(757) 323-5516
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Bruce Ira Tetalman
- 716 Thimble Shoals Blvd Suite A
- Newport News, VA
- Zip : 23606-4545
- Phone : (757) 323-5516
Second Address
- Bruce Ira Tetalman
- 716 Thimble Shoals Blvd Suite A
- Newport News, VA
- Zip : 23606-4545
- Phone : (757) 323-5516
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081P2900X | Pain Medicine | 0101052269 | VA |
National Provider Identifier
| NPI | 1174843064 |
|---|---|
| Provider Name | Bruce Ira Tetalman |
| First Address | Newport News, VA 23606-4545 |
| Second Address | Newport News, VA 23606-4545 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2010 |
| Last Update Date | 02/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.