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Organization

COMMONWEALTH VASCULAR INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BONNIE WRIGHT CPC-A, CPC-H-A (BILLING SUPERVISOR)
(757) 539-7824
Entity
Organization

Contact information

Practice address
150 BURNETTS WAY, SUITE 200, SUFFOLK, VA 23434-8168
(757) 539-7824
(757) 538-9474
Mailing address
150 BURNETTS WAY, SUITE 200, SUFFOLK, VA 23434-8168
(757) 539-7824
(757) 538-9474

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101053967
VA
2086S0129X
Vascular Surgery Physician
Primary
0101053967
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101053967
VA

Other

Enumeration date
08/09/2011
Last updated
08/29/2012
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