Individual
DR. THEODORE W UROSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6261 E VIRGINIA BEACH BLVD, SUITE 100, NORFOLK, VA 23502-2964
(757) 466-1000
(757) 466-7788
Mailing address
6261 E VIRGINIA BEACH BLVD, SUITE 100, NORFOLK, VA 23502-2964
(757) 466-1000
(757) 466-7788
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101056114
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016493775
VA SALES TAX NUMBER
—
05
—
006902090
—
VA
01
—
0101056114
VA LICENSE
VA
01
—
278499
BCBS
—
01
—
295242
BCBS
VA
01
—
295245
BCBS
VA
01
—
3755
ASPRS
—
01
—
65573
SENTARA
—
01
—
7530450
AETNA
—
01
—
C08782
MEDICARE GROUP NUMBER
—
01
—
P00094977
MEDICARE RAILROAD
—
Enumeration date
09/07/2006
Last updated
03/07/2023
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