Healthcare Provider Details

I. General information

NPI: 1760411581
Provider Name (Legal Business Name): COMMONWEALTH PHYSICIANS FOR WOMEN, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 BREMO RD SUITE 605
RICHMOND VA
23226-1926
US

IV. Provider business mailing address

1602 ROLLING HILLS DR SUITE 201
RICHMOND VA
23229-5012
US

V. Phone/Fax

Practice location:
  • Phone: 804-285-8806
  • Fax: 804-288-6079
Mailing address:
  • Phone: 804-282-5822
  • Fax: 804-282-4741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA W WOOD
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 804-288-4452