Provider Demographics
NPI:1184993412
Name:JOSEPH C NUARA MD PLC
Entity type:Organization
Organization Name:JOSEPH C NUARA MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:NUARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-200-1830
Mailing Address - Street 1:110 NORTH ROBINSON STREET
Mailing Address - Street 2:SUITE 401
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220
Mailing Address - Country:US
Mailing Address - Phone:804-200-1830
Mailing Address - Fax:804-200-1836
Practice Address - Street 1:110 NORTH ROBINSON STREET
Practice Address - Street 2:SUITE 401
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220
Practice Address - Country:US
Practice Address - Phone:804-200-1830
Practice Address - Fax:804-200-1836
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEPH C NUARA MD PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-15
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101019925207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty