| Organization Name: | COMMONWEALTH FAMILY PRACTICE LTD |
| NPI Number: | 1215936547 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIANNE LAND SIEGRIST (VICE PRESIDENT CEO) |
| Mailing Address: | 10201 Krause Rd Chesterfield |
| State: | VA US |
| Postal Code: | 238326575 |
| Phone Number: | 8047486229 |
| Fax Number: | 8047485909 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102037160 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |