RICHARD S TATE

COMMONWEALTH PRIMARY CARE

Dr RICHARD S TATE is a male medical professional, specializing in Family Medicine. He graduated in 1991 from Jefferson Medical College Of Thomas Jefferson University.

Contact

COMMONWEALTH PRIMARY CARE

1800 GLENSIDE DR
SUITE 101
RICHMOND
VA
232263769

Tel: 8042883001

RICHARD S TATE Information

Npi 1851373013
Pac Id 3072686369
Professional Enrollment Id I20090709000694
Last Name TATE
First Name RICHARD
Middle Name S
Suffix
Gender M
Credential
Medical School Name JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year 1991
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COMMONWEALTH PRIMARY CARE
Group Practice Pac Id 2264420918
Number Of Group Practice Members 55
Line 1 Street Address 1800 GLENSIDE DR
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City RICHMOND
State VA
Zip Code 232263769
Phone Number 8042883001
Hospital Affiliation Ccn 1 490059
Hospital Affiliation Lbn 1 BON SECOURS ST MARYS HOSPITAL
Hospital Affiliation Ccn 2 490118
Hospital Affiliation Lbn 2 HENRICO DOCTORS' HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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