OrganizationMark J Kanter Md Pc(<Unavail>)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906(757) 827-8486PECOS EnrollmentBased on the most recent information from CMS, provider Mark J Kanter Md Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700967783Provider TypeOrganizationFull NameMark J Kanter Md PcOther Name<Unavail>SubpartNoEnumeration Date10/18/2006Last Updated7/24/2008Contact InformationPractice LocationPractice Address4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906Phone(757) 827-8486Fax(757) 827-8718Mailing LocationMailing Address4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906Phone(757) 827-8486Fax(757) 827-8718Authorized OfficialNameKanter, Mark J (Owner Presisdent Physician)Phone(757) 827-8486Provider TaxonomiesCodeDescriptionLicenseCode261QA1903XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense0101041391VirginiaProvider IdentifiersIDDescriptionIssuerID143014DescriptionOtherIssuerANTHEM AMBULATORY SURGERYVirginiaID143018DescriptionOtherIssuerANTHEM AMBULATORY SURGERYVirginia