Organization
COMMONWEALTH CANCER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS W BROWN MD (DIRECTOR)
(804) 257-7337
Entity
Organization
Contact information
Practice address
1109 W MARSHALL ST, RICHMOND, VA 23220-3835
(804) 357-7337
(804) 359-6898
Mailing address
1109 W MARSHALL ST, RICHMOND, VA 23220-3835
(804) 357-7337
(804) 359-6898
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2810348
AETNA USHC
VA
01
—
70218
SOUTHERN HEALTH
VA
Enumeration date
12/21/2005
Last updated
07/21/2022
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