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Specialty details in registry · North Chesterfield, VA

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At a glance

2500 Turner Rd Fl 2, North Chesterfield, VA 23224-2538

NPPES record updated Apr 15, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2500 Turner Rd Fl 2
North Chesterfield, VA 23224-2538

Additional reported practice locations

3833 Cummins St Apt 1428
Houston, TX 770275886
Phone: 6179800504
Professional details: NPI, taxonomy & registry record
NPI1942825286
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251B00000X
Enumeration date
Jun 12, 2020
Record updated
Apr 15, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YP2500X

Specialty details in registry

251B00000X · Primary

Specialty details in registry

251S00000X

Specialty details in registry

253Z00000X

Specialty details in registry

261QC1500X

Specialty details in registry

261QM0850X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2500 Turner Rd Fl 2
North Chesterfield, VA 23224-2538
Phone
(617) 980-0504
Mailing address
2500 TURNER RD FL 2

NORTH CHESTERFIELD, VA 232242538
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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