Organization
COMMONWEALTH HEART CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY REUBEN ZEEVI MD (PRESIDENT)
(804) 288-8257
Entity
Organization
Contact information
Practice address
7605 FOREST AVE, SUITE 404, RICHMOND, VA 23229-4938
(804) 288-8257
(804) 288-3917
Mailing address
7605 FOREST AVE, SUITE 404, RICHMOND, VA 23229-4938
(804) 288-8257
(804) 288-3917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101038086
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204838
ANTHEM BLUE CROSS
VA
01
—
497780
AETNA/USHEALTHCARE
VA
05
—
5817234
—
VI
Enumeration date
09/15/2006
Last updated
08/20/2007
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