Organization
COMMONWEALTH NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN JEBRAILI MD (LLC OWNER)
(703) 729-4692
Entity
Organization
Contact information
Practice address
19465 DEERFIELD AVE STE 307, LANSDOWNE, VA 20176-1705
(703) 729-4692
Mailing address
19465 DEERFIELD AVE STE 307, LANSDOWNE, VA 20176-1705
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101052907
VA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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