OrganizationActive
Commonwealth Vascular Institute
NPI 1194004093 · Vascular Surgery Physician · Suffolk, VA
Provider details
- NPI number
- 1194004093
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bonnie Wright, Billing Supervisor(757) 539-7824
- License
- 0101053967 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
150 Burnetts Way
Suite 200
Suffolk, VA 23434-8168
Phone: (757) 539-7824
Fax: (757) 538-9474
Approximate (ZIP-level) locationGet directions
Mailing address
150 Burnetts Way
Suffolk, VA 23434-8168
Registry dates
- Enumerated
- 2011-08-09
- Last updated
- 2012-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.