Provider Demographics
NPI:1285773952
Name:COMMONWEALTH ORTHOPAEDICS & REHABILITATION, PC
Entity type:Organization
Organization Name:COMMONWEALTH ORTHOPAEDICS & REHABILITATION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:BRITT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-246-8080
Mailing Address - Street 1:13350 FRANKLIN FARM RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4091
Mailing Address - Country:US
Mailing Address - Phone:703-234-1010
Mailing Address - Fax:703-234-1301
Practice Address - Street 1:11240 WAPLES MILL RD
Practice Address - Street 2:SUITE 403
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6078
Practice Address - Country:US
Practice Address - Phone:703-246-8080
Practice Address - Fax:703-691-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty