Chesterfield Urology, LLC
Organization Active NPI Urology Physician · Moseley, VA
NPI 1124435664 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1124435664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- 0101057462 (VA)
- Legal business name
- CHESTERFIELD UROLOGY, LLC
- Practice address
- 16901 Blakeway PL
Moseley, VA 23120-1369 - Phone
- (804) 381-7448
- NPI assigned
- Jul 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Paul John Roberto, M.D.
- Title
- Owner
- Phone
- (804) 381-7448
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | 0101057462 | VA | Yes |
Addresses
Primary practice location
16901 Blakeway PL
Moseley, VA 23120-1369
Mailing address
16901 Blakeway PL
Moseley, VA 23120-1369
Phone (804) 381-7448
Other providers in Moseley, VA
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- Victoria E Collins
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All providers in Moseley, VA · Urology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.