Individual
DR. MARTIN G OGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 GAINSBOROUGH SQ STE 400, CHESAPEAKE, VA 23320-1714
(757) 842-4499
(757) 842-4490
Mailing address
667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-4999
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101044521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007307977
—
VA
Enumeration date
12/01/2005
Last updated
06/24/2024
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