| NPI | 1689119646 |
|---|---|
| Doing Business As | ALLERGY AND ASTHMA OF VIRGINIA |
| Entity Type | Organization |
| Authorized Contact | LUIS A MATOS Medical Director 434-252-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101056392) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101056392) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: VA 0101056392) | |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2018-04-12 |