Individual
DR. GLENN STUART ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11803 JEFFERSON AVE, STE 140, NEWPORT NEWS, VA 23606-2565
(757) 594-1837
(757) 594-1828
Mailing address
11803 JEFFERSON AVE, STE 140, NEWPORT NEWS, VA 23606-2565
(757) 594-1837
(757) 594-1828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101046687
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005870828
—
VA
Enumeration date
02/22/2006
Last updated
10/29/2024
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