MEDICARE: DR. KRISTL VIDYA DORSCHNER TOMLIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0101282257	VA

General Provider Information

NPI Number	:	1861757304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTL VIDYA DORSCHNER TOMLIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 843035
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-3035
Country	:	US
Telephone Number	:	757-668-7200
Fax Number	:	757-668-9663

Provider Business Practice Location Address
First Line	:	1924 LANDSTOWN CENTRE WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1624
Country	:	US
Telephone Number	:	757-668-9330
Fax Number	:	757-668-7721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	09/10/2024

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