institution
Commonwealth General & Vascular Surgery, P.c.
Specialist in Richmond, Virginia
NPI 1144279076

Commonwealth General & Vascular Surgery, P.c. is a Specialist based in Richmond, VA. Commonwealth General & Vascular Surgery, P.c. practices in Richmond, VA. The NPI Number for Commonwealth General & Vascular Surgery, P.c. is 1144279076 and holds a License No. 0101033088 (Virginia).

The current practice location address for Commonwealth General & Vascular Surgery, P.c. is 1401 Johnston Willis Dr, Richmond, VA and can be reached out via phone at 804-330-5436 and via fax at 804-560-0584.

Location: 1401 Johnston Willis Dr, Richmond, VA, 23235-4730
institution
Provider Profile Details
NPI Number
1144279076
Provider Name
Commonwealth General & Vascular Surgery, P.c.
Credential
Provider Entity Type
Organization
Address
1401 Johnston Willis Dr, Richmond, VA, 23235-4730
Phone Number
804-330-5436
Fax Number
804-560-0584
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071139 01 ANTHEM
4543869 01 AETNA PPO/MC
1013678 01 AETNA HMO
institution
Provider Business Practice Location Address Details
Address
1401 Johnston Willis Dr
City
State
Zip
23235-4730
Phone Number
804-330-5436
Fax Number
804-560-0584
person
Provider Business Mailing Address Details
Address
1401 Johnston Willis Dr
City
State
Zip
23235-4730
Phone Number
804-330-5436
Fax Number
804-560-0584
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101033088 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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