Individual
BRUCE MAULBETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12997 WARWICK BLVD, NEWPORT NEWS, VA 23606
(757) 369-9446
(757) 369-9554
Mailing address
5000 COX RD, SUITE 100, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H0054131
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295782407
—
VA
Enumeration date
05/31/2006
Last updated
03/30/2016
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