Individual
WILLIAM STANLEY GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11803 JEFFERSON AVE, SUITE 110, NEWPORT NEWS, VA 23606-2565
(757) 873-0360
(757) 873-0847
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101051049
VA
Other
Enumeration date
09/27/2005
Last updated
11/27/2013
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