Individual
DR. MARILISA GIBELLATO ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PHD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5652
(757) 953-7134
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5165
(757) 953-7134
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101240440
VA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
0101240440
VA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
0101240440
VA
Other
Enumeration date
11/07/2006
Last updated
12/09/2022
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