Organization
COMMONWEALTH NEUROVASCULAR SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GAUGHEN MD (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
1415 ROLKIN CT STE 203, CHARLOTTESVILLE, VA 22911-3643
(434) 207-8320
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 566-3889
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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