| Dr Charles Konigsberg Jr, MD | |
|
301 Halifax St, Petersburg, VA 23803-6335 | |
| (804) 863-1652 | |
| (804) 862-6126 |
| Full Name | Dr Charles Konigsberg Jr |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
| Location | 301 Halifax St, Petersburg, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487780490 | NPI | - | NPPES |
| 4976053 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 0101222148 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Konigsberg Jr, MD 301 Halifax St, Petersburg, VA 23803-6335 Ph: (804) 863-1652 | Dr Charles Konigsberg Jr, MD 301 Halifax St, Petersburg, VA 23803-6335 Ph: (804) 863-1652 |
Lauran Dekease Jackson, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 10543 South Crater Road, Petersburg, VA 23805 Phone: 804-481-5259 | |
Michael O Royster, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-863-1652 Fax: 804-862-6126 |