| Doctor Name: | MR. JAY I TISCHLER |
| NPI Number: | 1003809112 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 0103000360 |
| Business Practice Address: | 1080 First Colonial Rd Ste 400 Virginia Beach, VA - 234542406 |
| Business Phone Number: | 7573951880 |
| Business Fax Number: | 7574317770 |
| Mailing Address: | 1080 First Colonial Rd, Ste 400 VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234542406 |
| Phone Number: | 7573951880 |
| Fax Number: | 7574317770 |
| NPI Enumeration Date: | 08/24/2005 |
| NPI Last Update Date: | 09/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0103000360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |