NPI 1053714816

Commonwealth Allergy LLC

Organisation Allergy Physician Glen Allen, VA

Practice location

Address: 201 Concourse Blvd STE 100, Glen Allen, VA 23059-5640
Phone: (804) 968-4824
Fax: (804) 968-4824

Authorised official

Name: Kimberly C George
Title: Owner
Phone: (540) 379-2707

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 0101239959 (VA)

Other Allergy & Immunology providers in Virginia →

Registry record

NPI: 1053714816
Entity type: Organization
NPI issued: 7 Oct 2014
Record last updated: 7 Oct 2014

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.