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Organization

COMMONWEALTH INPATIENT PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD V PUCCIO MD (PRESIDENT)
(703) 858-6044
Entity
Organization

Contact information

Practice address
44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL, LEESBURG, VA 20176-5101
(703) 858-6044
(610) 617-6280
Mailing address
PO BOX 17668, COMMONWEALTH INPATIENT PHYSICIANS, LLC, BALTIMORE, MD 21297-1668
(610) 668-6491
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
05/25/2006
Last updated
08/22/2020
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