Individual
HARRY JOSEPH MOLLIGAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
(757) 388-5681
Mailing address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
(757) 388-5681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101264068
VA
207X00000X
Orthopaedic Surgery Physician
2018-01130
NC
207X00000X
Orthopaedic Surgery Physician
ME130036
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020253600
—
FL
01
—
404228
AVMED
FL
01
—
5212892
AETNA
FL
01
—
W3XX0
FL BCBS
FL
Enumeration date
03/20/2012
Last updated
04/23/2021
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