Organization
CLETUS C ARALU MD LLC
Active
Other names
Dominion Neurological Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLETUS C ARALU MD (PRESIDENT)
(804) 592-4905
Entity
Organization
Contact information
Practice address
8740 LANDMARK RD, RICHMOND, VA 23228-2802
(804) 592-4905
(804) 592-4909
Mailing address
8740 LANDMARK RD, RICHMOND, VA 23228-2802
(804) 592-4905
(804) 592-4909
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101231341
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598728461
INDIVIDUAL NPI
VA
Enumeration date
10/28/2009
Last updated
04/13/2015
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