Individual
ROSE J CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12695 MCMANUS BLVD, SUITE 1 C, NEWPORT NEWS, VA 23602-4435
(757) 988-0085
(757) 989-3511
Mailing address
PO BOX 2074, YORKTOWN, VA 23692
(757) 988-0085
(757) 989-3511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101032889
VA
208000000X
Pediatrics Physician
ME65332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00672302-1
—
VA
Enumeration date
09/25/2006
Last updated
07/24/2012
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