Organization
PULMONARY ASSESSMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ZANGWILL BLUMBERG M.D. (CEO)
(804) 314-6925
Entity
Organization
Contact information
Practice address
149 WEST SQUARE CT, RICHMOND, VA 23238
(804) 314-6925
(804) 784-7353
Mailing address
149 WEST SQUARE CT, RICHMOND, VA 23238
(804) 314-6925
(804) 784-7353
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101028776
VA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
Update your record
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