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Organization

COMMONWEALTH EMS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NAZAR MOHAMMED (OWNER)
(202) 351-1512
Entity
Organization

Contact information

Practice address
101 JULIAD CT, SUITE 118, FREDERICKSBURG, VA 22406-1123
(202) 351-1512
(540) 371-4821
Mailing address
101 JULIAD CT, SUITE 118, FREDERICKSBURG, VA 22406-1123
(202) 351-1512
(540) 371-4821

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1354
VIRGINIA DEPARTMENT OF HEALTH, OFFICE OF EMERGENCY MEDICAL SERVICES
VA
Enumeration date
06/11/2015
Last updated
07/21/2016
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