Commonwealth Ear, Nose & Throat Associates, LLC

NPI #1003849720 in Woodbridge, Virginia

Provider Information

NPI Number: 1003849720
Entity Type: Organization
Organization Name: Commonwealth Ear, Nose & Throat Associates, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jul 8, 2006
Last Updated: May 6, 2009

Practice Location

Address: 2280 OPITZ BLVD
Address 2: SUITE 340
City: Woodbridge
State: Virginia
ZIP Code: 22191
Phone: (703) 878-0777

Authorized Official

Name: MS. CAROL J EKINS
Title: OFFICE MANAGER
Phone: (703) 878-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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