Organization
COMMONWEALTH GASTROENTEROLOGY, PC
Active
Organization
COMMONWEALTH GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DALTON (CREDENTIALING)
(757) 870-6595
Entity
Organization
Contact information
Practice address
4000A GLENSIDE DR, HENRICO, VA 23228-4102
(804) 716-6318
(804) 801-5187
Mailing address
1215 N 26TH ST, RICHMOND, VA 23223-5211
(757) 870-6595
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/18/2022
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