Healthcare Provider Details

I. General information

NPI: 1710952676
Provider Name (Legal Business Name): SANFORD KENT MARCUSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 MOORETOWN RD SUITE 400
WILLIAMSBURG VA
23188-2196
US

IV. Provider business mailing address

860 OMNI BLVD SUITE 303
NEWPORT NEWS VA
23606-4430
US

V. Phone/Fax

Practice location:
  • Phone: 757-645-3150
  • Fax:
Mailing address:
  • Phone: 757-232-8769
  • Fax: 757-232-8875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101227468
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: