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Organization

VIRGINIA ADULT & PEDIATRIC ALLERGY & ASTHMA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL Z BLUMBERG MD (MANAGING DIRECTOR)
(804) 288-0055
Entity
Organization

Contact information

Practice address
7605 FOREST AVE, SUITE 103, RICHMOND, VA 23229-4938
(804) 288-0055
(804) 288-2659
Mailing address
7605 FOREST AVE, SUITE 103, RICHMOND, VA 23229-4938
(804) 288-0055
(804) 288-2659

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001852
ANTHEM
VA
01
110161
ANTHEM
VA
01
192047
ANTHEM
VA
01
382746
ANTHEM
VA
Enumeration date
06/02/2006
Last updated
09/11/2025
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