Organization
ADVANCED ALLERGY AND ASTHMA OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY KEITH FEINSTEIN MD (PRESIDENT)
(804) 741-6900
Entity
Organization
Contact information
Practice address
5924 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 739-9005
Mailing address
5924 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 739-9005
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101038621
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029755
ANTHEM
VA
05
—
6000631
—
VA
Enumeration date
01/15/2010
Last updated
05/21/2010
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