Organization · Type 2 NPI

Commonwealth Vascular Institute

Vascular Surgery Physician · Suffolk, VA

NPI number 1194004093 Active

Practice location

150 Burnetts Way, Suite 200
Suffolk, VA 23434-8168

Call (757) 539-7824 Map

Fax (757) 538-9474

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X0101053967 (VA)
Vascular Surgery Physician Primary 2086S0129X0101053967 (VA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X0101053967 (VA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

12 other providers at this address

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About NPI 1194004093

Commonwealth Vascular Institute's National Provider Identifier is 1194004093, issued on Aug 9, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Suffolk, VA. The record was last updated on Aug 29, 2012.