Individual
COLLEEN MARIA VADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 628-4327
(804) 828-7710
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0110007500
VA
363A00000X
Physician Assistant
Primary
0110007500
VA
Other
Enumeration date
09/22/2014
Last updated
06/26/2024
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