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Contact Information

COMMONWEALTH PEDIATRICS PC
430 CLAIRMONT COURT
SUITE 211
COLONIAL HEIGHTS, VA23834
 Phone: 804-526-0346
 Fax: 804-526-7675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COMMONWEALTH PEDIATRICS PC · (Female)

NPI # 1376710715
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2008
Last updated 05/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101057140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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