| Commonwealth Internal Medicine, Pc | |
|
611 Jefferson Davis Hwy Suite 201 Fredericksburg VA 22401-8402 | |
| (540) 371-4141 | |
| (540) 371-1990 |
| Full Name | Commonwealth Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 Jefferson Davis Hwy, Fredericksburg, Virginia |
| Authorized Official Name and Position | Norman Chang (PHYSICIAN) |
| Authorized Official Contact | 5403714141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Internal Medicine, Pc 611 Jefferson Davis Hwy Suite 201 Fredericksburg VA 22401-8402 Ph: (540) 371-4141 | Commonwealth Internal Medicine, Pc 611 Jefferson Davis Hwy Suite 201 Fredericksburg VA 22401-8402 Ph: (540) 371-4141 |
| NPI Number | 1225076946 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 01/30/2014 |
| Medicare PECOS PAC ID | 3870492457 |
|---|---|
| Medicare Enrollment ID | O20040102000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225076946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Norman A Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629064605 PECOS PAC ID: 4587563168 Enrollment ID: I20090209000223 |
| Provider Name | Maghan R Burge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396174025 PECOS PAC ID: 9234360264 Enrollment ID: I20140315000057 |
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