Commonwealth Dermatology, PC

NPI #1013091115 in Richmond, Virginia

Provider Information

NPI Number: 1013091115
Entity Type: Organization
Organization Name: Commonwealth Dermatology, PC
Primary Specialty: Dermatology
Enumeration Date: Oct 25, 2006
Last Updated: Sep 3, 2014

Practice Location

Address: 7001 FOREST AVE
Address 2: STE. 400
City: Richmond
State: Virginia
ZIP Code: 23230-1726
Phone: (804) 282-0831

Authorized Official

Name: HAZLE KONERDING, MD
Title: PRESIDENT
Phone: (804) 282-0831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Acute Care — Acute Care	363LA2100X

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