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NPI Profile for VIRGINIA CENTER FOR ADDICTION MEDICINE in GLEN ALLEN, VA.
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine |
| NPI Number | 1477091247 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/01/2017 | |
| Last updated | 01/04/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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VIRGINIA CENTER FOR ADDICTION MEDICINE
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| BON SECOURS-VIRGINIA HEALTHSOURCE, INC. 1510 N 28TH ST RICHMOND, VA |
VIRGINIA CENTER FOR ADDICTION MEDICINE