Commonwealth Emergency Physicians PC

Organization Active NPI Physician Assistant · Leesburg, VA

NPI 1366061574 · NPPES record last updated Apr 9, 2020

Key facts

NPI
1366061574
Entity type
Organization (NPI type 2)
Primary specialty
Physician Assistant 363A00000X
Legal business name
COMMONWEALTH EMERGENCY PHYSICIANS PC
Practice address
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone
(703) 858-6040
NPI assigned
Apr 9, 2020
Organization subpart
No

Authorized official

Name
Edward Vincent Puccio
Title
President
Phone
(610) 668-6495

Practitioners 221

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 221

National Provider Directory

Locations

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

44045 Riverside Pkwy
Leesburg, VA 20176-5101

Mailing address

PO Box 79450
Baltimore, MD 21279-0450

Other providers in Leesburg, VA

All providers in Leesburg, VA · Physician Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.