Whalio Doctors

NPI 1003188483

Commonwealth Gastroenterology, Plc

Organisation Gastroenterology Physician Chantilly, VA

Practice location

Address
4229 Lafayette Center Dr #1000, Chantilly, VA 20151-1261
Phone
(703) 262-0200
Mailing address
4001 Fair Ridge Dr #201, Fairfax, VA 22033-2917

Authorised official

Name
Lance Lasner
Title
Owner
Phone
(703) 262-0200

Registered specialties

Gastroenterology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Registry record

NPI
1003188483
Entity type
Organization
NPI issued
1 Feb 2012
Record last updated
1 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.