Dr Charles A Bullaboy, MD | |
601 Childrens Ln, Norfolk, VA 23507-1910 | |
(757) 668-7213 | |
(757) 668-8225 |
Full Name | Dr Charles A Bullaboy |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 601 Childrens Ln, Norfolk, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699724245 | NPI | - | NPPES |
006722296 | Medicaid | VA | |
0197625000 | Medicaid | WV | |
7905245 | Medicaid | NC | |
0016948820001 | Medicaid | PA | |
119541700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 0101028010 (Virginia) | Primary |
208000000X | Pediatrics | 0101058010 (Virginia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Charles A Bullaboy, MD Po Box 79137, Baltimore, MD 21279-0137 Ph: (757) 668-7200 | Dr Charles A Bullaboy, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7213 |
Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000 | |
Stephen C. Restaino, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7179 Fax: 757-668-9810 | |
Michael Lee Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 | |
Phyllis R. Hope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 | |
Linda D Pegram, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658 | |
Ernette Yvonne Benson-foulk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502 Phone: 757-461-4027 Fax: 757-461-8821 | |
Monica G Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 |