NPI 1417267683

Commonwealth Allergy and Asthma 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) 968-4826

Authorised official

Name: Kimberly Creasy George
Title: Physician
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: 1417267683
Entity type: Organization
NPI issued: 20 Oct 2010
Record last updated: 3 Dec 2010

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.