# COMMONWEALTH NEONATOLOGY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922181007
- **Authorized official:** DR. BONITA JEAN MAKDAD M.D. (PRESIDENT)
- **Authorized official phone:** (804) 282-8082

## Contact information

- **Practice address:** 412 LIBBIE AVE STE 4, RICHMOND, VA 23226-2658
- **Practice address phone:** (804) 282-8082
- **Practice address fax:** (804) 282-9082
- **Mailing address:** 412 LIBBIE AVE STE 4, RICHMOND, VA 23226-2658
- **Mailing address phone:** (804) 282-8082
- **Mailing address fax:** (804) 282-9082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020