Commonwealth Neonatology, Inc.

Organization Active NPI Neonatal-Perinatal Medicine Physician · Richmond, VA

NPI 1922181007 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1922181007
Entity type
Organization (NPI type 2)
Primary specialty
Neonatal-Perinatal Medicine Physician 2080N0001X
Legal business name
COMMONWEALTH NEONATOLOGY, INC.
Practice address
412 Libbie Ave Ste 4
Richmond, VA 23226-2658
Phone
(804) 282-8082
Fax
(804) 282-9082
NPI assigned
Oct 23, 2006
Organization subpart
No

Authorized official

Name
Dr. Bonita Jean Makdad, M.D.
Title
President
Phone
(804) 282-8082

Practitioners 21

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

National Provider Directory

Locations

412 Libbie Ave
Ste 4
Richmond, VA 23226
Phone (804) 282-8082

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2080N0001X Yes

Addresses

Primary practice location

412 Libbie Ave Ste 4
Richmond, VA 23226-2658

Mailing address

412 Libbie Ave Ste 4
Richmond, VA 23226-2658
Phone (804) 282-8082

Other providers in Richmond, VA

All providers in Richmond, VA · Neonatal-Perinatal Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.