| NPI | 1679596647 |
|---|---|
| Former Legal Business Name | COMMONWEALTH ORTHOPAEDICS & REHABILITATION PC |
| Entity Type | Organization |
| Authorized Contact | NICOLE PROFFITT Credentialing/Enrollment 804-533-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-06-03 |