Commonwealth Emergency Physicians PC

Physician Assistant · Leesburg, VA

Organization Active NPI

NPI number 1366061574

Practice location

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone
(703) 858-6040

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NPI record

NPI
1366061574
Entity type
Organization (Type 2)
Enumeration date
April 9, 2020
Last updated
April 9, 2020
Certified
April 9, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Nurse Practitioner 363L00000X — —

Mailing address

PO Box 79450
Baltimore, MD 21279-0450

Authorized official

Name
Edward Vincent Puccio
Title
President
Phone
(610) 668-6495

About Commonwealth Emergency Physicians PC

Commonwealth Emergency Physicians PC is a healthcare organization registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 44045 Riverside Pkwy, Leesburg, VA 20176-5101. The NPI number 1366061574 was assigned on April 9, 2020 and the record was last updated on April 9, 2020.

The authorized official for this organization is Edward Vincent Puccio, President.

Frequently asked questions

What is the NPI number of Commonwealth Emergency Physicians PC?

The NPI number is 1366061574.

What is the phone number of Commonwealth Emergency Physicians PC?

The phone number listed for the practice location is (703) 858-6040.

Where is Commonwealth Emergency Physicians PC located?

44045 Riverside Pkwy, Leesburg, VA 20176-5101.

What is the taxonomy code for Commonwealth Emergency Physicians PC?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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