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NPI Code Detail

MEDICARE: VIRGINIA ALLERGY TREATMENT CENTER PLLC

MEDICARE: VIRGINIA ALLERGY TREATMENT CENTER PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician

General Provider Information

NPI Number : 1770452831
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA ALLERGY TREATMENT CENTER PLLC
Provider Business Mailing Address
First Line : 812 MOOREFIELD PARK DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3684
Country : US
Telephone Number : 757-746-9974
Fax Number :
Provider Business Practice Location Address
First Line : 812 MOOREFIELD PARK DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-3684
Country : US
Telephone Number : 757-746-9974
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGING MEMBER
Name : NICHOLAS KLAIBER
Credential : MD
Telephone Number : 757-746-9974
Provider Enumeration Date : 11/05/2025
Last Update Date : 11/05/2025

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Directions to “VIRGINIA ALLERGY TREATMENT CENTER PLLC ” Practice Location

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