Healabilitymd
Surgery in Glen Allen, VA. Organization (NPI-2).
NPI number1174109490
StatusActive
Last updated in NPPESMar 18, 2021
Details
- NPI
- 1174109490
- Entity type
- Organization (NPI-2)
- Legal business name
- Healabilitymd
- Organization subpart
- No
- Enumeration date
- Mar 18, 2021
- Certification date
- Mar 18, 2021
- Last updated
- Mar 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
7214 Shenfield AveGlen Allen, VA 23059-6614
Phone 804-690-9790
Mailing address
7214 Shenfield AveGlen Allen, VA 23059-6614
Phone 804-690-9790
Authorized official
Peter Buckman
Physician
8046909790
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