Provider Demographics
NPI:1730140989
Name:ANDERSON, CLAUDE DAMIAN (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:DAMIAN
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1805 STREATHAM CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-1172
Mailing Address - Country:US
Mailing Address - Phone:757-953-1882
Mailing Address - Fax:757-953-0392
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:DEPARTMENT OF ORTHOPEDICS
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-1882
Practice Address - Fax:757-953-0362
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050218207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery