Provider Demographics
NPI:1588650980
Name:HARRISONBURG SURGICAL ASSOCIATES, LTD
Entity Type:Organization
Organization Name:HARRISONBURG SURGICAL ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAREAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-433-2351
Mailing Address - Street 1:3320 EMMAUS RD
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2685
Mailing Address - Country:US
Mailing Address - Phone:540-433-2351
Mailing Address - Fax:540-433-7507
Practice Address - Street 1:3320 EMMAUS RD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-2685
Practice Address - Country:US
Practice Address - Phone:540-433-2351
Practice Address - Fax:540-433-7507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA012335OtherANTHEM BCBS
VA012335OtherANTHEM BCBS