Provider Demographics
NPI:1518363860
Name:VIRGINIA ALLERGY AND ASTHMA CENTER, PLC
Entity type:Organization
Organization Name:VIRGINIA ALLERGY AND ASTHMA CENTER, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:VILSECK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:804-794-9477
Mailing Address - Street 1:1807 HUGUENOT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-5604
Mailing Address - Country:US
Mailing Address - Phone:804-794-9477
Mailing Address - Fax:804-794-1793
Practice Address - Street 1:1807 HUGUENOT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-5604
Practice Address - Country:US
Practice Address - Phone:804-794-9477
Practice Address - Fax:804-794-1793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty